1. Depression & Common Mental Health Problems

2. Persistent sadness Tiredness Loss of Interest Agitation or slow movement Poor sleep Guilt or worthlessness Poor Concentration Thoughts of death

3. How common is depression? 5% population is affected each year 1 in 4 women & 1 in 10 men will have symptoms severe enough to require treatment at some point in their life.

4. Some myths about depression Depression is not a weakness. Nothing bad has happened, how can I be depressed? Telling someone to “snap out of it” or “pull their socks up” is not helpful. One of the most common conditions GPs see – come and discuss it with us if you are concerned.

5. Treatment of Depression Watchful waiting & self care Guided self-help - cognitive behavioural therapy (CBT) Relaxation therapy Brief psychological interventions Antidepressant therapy with CBT Psychiatric Referral Electroconvulsive therapy

6. Mindfulness

8. Common type works to maintain own mood stabiliser - serotonin Delayed onset 2-3weeks Often needed for 6-12months Some people need them for life Some need more than one course in life. Everyone is different Antidepressants

9. Post-Natal Depression

10. Recovery The average length of an episode of depression is 6-8 months and, with mild depression, spontaneous recovery is likely. Ways to stay well….