Depression Management Workshop Wednesday 23rd November 2005

1
Depression Management Workshop Wednesday 23rd
November 2005
2
Introduction

• We are not convinced that we should run a group
  specifically for depression and would like to
  share our experiences with you

3
Hazeldene Day Therapy

• We are a unit that treats people over 65 years
  with anxiety and depression related problems.
• We do not currently offer a Depression Management
  Group.

4
Why we should run a Depression Management Group

• The N.I.C.E states that CBT and other
  psychotherapies are an evidenced-based, effective
  way of treating depression.
• CBT has been found equally effective when
  provided on an individual and group basis.
• I am not the only one

5
Potential difficulties with running Depression
Management Group

• Patients have difficulty in applying CBT
  principles.
• Reluctance to complete homework tasks.
• May need to be complimented with individual work.
• Difficult to treat the individual within a group
  setting.
• Not person-centred?
• Does having depression in the title put people
  off?

6
Proposed Depression Management Group

• Based on a CBT model.
• Designed to treat people with mild to moderate
  depression.
• Closed group held over 15 weeks.
• Jointly run by mental health nurse and
  occupational therapist.

7
Aims and Objectives

• Increase understanding of depression.
• Facilitate patients understanding of their
  personal symptoms.
• Teaches the control of negative automatic
  thoughts.
• Changing behaviour overcoming inactivity.

8
What the group will include

• Activity scheduling.
• Thought records.
• Behavioural experiments.
• Formation of relapse plans.

9
How we treat depression currently

• Occupational Therapists use meaningful and
  purposeful activity as a way of enhancing mood,
  maximising function, and challenging the
  inactivity that depression causes.

10
Groups treating depression symptoms

• Support Group/Locality Groups.
• Creative Therapy Group.
• Loss Group.
• Womens Group.

11
Discussion Points

• Should we run a Depression Management Group?
• What is happening in other areas?
• What should we call the group?
• Should there be different groups for acute Vs
  chronic depression?
• Why are some areas not offering a depression
  management group are we avoiding it?