1. DIABETES AND DEPRESSION Why Treating Depression and Maintaining Positive Mental Health Matters When You Have Diabetes

2. Diabetes and Depression An educational booklet on the importance of managing your mental health to live better with Diabetes An International Awareness Packet from the World Federation for Mental Health

3. Table of Contents Introductions and Acknowledgements Introductions and Acknowledgements The Dialogue on Diabetes and Depression The Dialogue on Diabetes and Depression Complete Care for Diabetes and Depression – An Overview Complete Care for Diabetes and Depression – An Overview Diabetes and Depression – An Overview of International Efforts Diabetes and Depression – An Overview of International Efforts The Epidemiology of Diabetes and Depression The Epidemiology of Diabetes and Depression The Role of Self-Care in Managing your Depression and Diabetes The Role of Self-Care in Managing your Depression and Diabetes

4. Table of Contents The Role of Family Members in Helping to Manage Your Diabetes and Depression The Role of Family Members in Helping to Manage Your Diabetes and Depression Summary: What We Know About Diabetes and Depression Summary: What We Know About Diabetes and Depression References References International Resources for Diabetes and Depression Information International Resources for Diabetes and Depression Information

5. The Dialogue on Diabetes and Depression Participating Organizations Action for Mental Health Action for Mental Health American Diabetes Association American Diabetes Association American Association of Clinical Endocrinologists American Association of Clinical Endocrinologists European Association for the Study of Diabetes/Psychosocial Aspects of Diabetes European Association for the Study of Diabetes/Psychosocial Aspects of Diabetes GAMIAN-Europe GAMIAN-Europe International Council of Nurses International Council of Nurses International Society for Affective Disorders International Society for Affective Disorders International Society of Behavioral Medicine International Society of Behavioral Medicine World Federation for Mental Health World Federation for Mental Health World Organization of Family Doctors World Organization of Family Doctors World Psychiatric Association World Psychiatric Association Collaborating Institutions Lilly Research Laboratories Lilly Research Laboratories Lundbeck Institute Lundbeck Institute NovoNordisk NovoNordisk Pfizer Pfizer Takeda Takeda Trimbos Instituut Trimbos Instituut

6. INTRODUCTION & ACKNOWLEDGEMENTS A growing body of scientific evidence has shown that untreated depression – in combination with diabetes – causes significant adverse outcomes…By getting early treatment for depression, people with diabetes can often avoid other serious complications A growing body of scientific evidence has shown that untreated depression – in combination with diabetes – causes significant adverse outcomes…By getting early treatment for depression, people with diabetes can often avoid other serious complications WFMH acknowledges the support of LILLY USA, LLC and the Dialogue on Diabetes and Depression in developing this awareness packet WFMH acknowledges the support of LILLY USA, LLC and the Dialogue on Diabetes and Depression in developing this awareness packet

7. COMPLETE CARE FOR DIABETES & DEPRESSION – AN OVERVIEW Diabetes and Depression are commonly linked, regardless or culture or country Diabetes and Depression are commonly linked, regardless or culture or country Treating your Diabetes and Depression Treating your Diabetes and Depression Diabetes and Depression: Differences in Countries and Cultures Diabetes and Depression: Differences in Countries and Cultures

8. DIABETES & DEPRESSION: AN OVERVIEW OF INTERNATIONAL EFFORTS The Scope of the Problem: A Global Disease The Scope of the Problem: A Global Disease The Complex Relationship Between Diabetes and Depression The Complex Relationship Between Diabetes and Depression Adverse Outcomes Linked to Untreated Depression in Diabetes Adverse Outcomes Linked to Untreated Depression in Diabetes Summary Summary Some International Programs on Diabetes and Depression Some International Programs on Diabetes and Depression

9. THE EPIDEMIOLOGY OF DIABETES & DEPRESSION Diabetes & Depression – Who is Likely to get this Dual Diagnosis? Diabetes & Depression – Who is Likely to get this Dual Diagnosis? Why does it Matter Who Gets Diabetes and Depression? Why does it Matter Who Gets Diabetes and Depression?

10. THE DIAGNOSIS & TREATMENT OF DIABETES AND DEPRESSION A Diagnosis of Depression A Diagnosis of Depression Signs of Depression Signs of Depression How can I get a Diagnosis? How can I get a Diagnosis? The Importance of Treating your Depression The Importance of Treating your Depression Treatment of Depression in Diabetes Treatment of Depression in Diabetes Medications for Depression Medications for Depression Psychotherapy for Depression Psychotherapy for Depression Internet – or Telephone-based Psychotherapy Programs Internet – or Telephone-based Psychotherapy Programs Traditional or Alternative Healing Methods Traditional or Alternative Healing Methods Herbal Remedies Herbal Remedies Brain Stimulation Therapies Brain Stimulation Therapies The Future: Targeted Research The Future: Targeted Research

11. THE ROLE OF SELF-CARE IN MANAGING YOUR DIABETES & DEPRESSION Actively Managing your Diabetes & Depression: Make a Plan Actively Managing your Diabetes & Depression: Make a Plan Rosas Story Rosas Story

12. THE ROLE OF FAMILY MEMBERS IN HELPING TO MANAGE YOUR DIABETES & DEPRESSION Information and Knowledge Information and Knowledge Support and Caring Support and Caring Family and Friends: Leading your Treatment Team Family and Friends: Leading your Treatment Team When Family and Friends Arent Helping When Family and Friends Arent Helping

13. SUMMARY: WHAT WE KNOW ABOUT DIABETES AND DEPRESSION

14. APPENDICES REFERENCES INTERNATIONAL RESOURCES FOR DIABETES AND DEPRESSION INFORMATION

15. DEPRESSION: WHAT YOU KNOW CAN HELP YOU An International Awareness Packet from the World Federation for Mental Health ©World Federation for Mental Health (2010) The materials in this mental health awareness packet may be reproduced for use in non-commercial mental health education and awareness activities, including use as handouts at workshops, support groups, and other meetings. This PowerPoint presentatiion is intended for use with the materials contained on the CD-Rom. Permission to translate the materials without change or adaptation of text, in whole or part, may be requested by contacting the World Federation for Mental Health. These materials can also be accessed and downloaded from the WFMH website at www.wfmh.org.www.wfmh.org This international mental health awareness packet was supported in part by an unrestricted educational grant from LILLY USA, LLC, which had no control over its content.

16. World Federation for Mental Health 12940 Harbor Drive, Suite 101 Woodbridge VA 22192 USA +1-703-494-6515 www.wfmh.org World Federation for Mental Health 12940 Harbor Drive, Suite 101 Woodbridge VA 22192 USA +1-703-494-6515 www.wfmh.org www.wfmh.org This international mental health awareness packet was funded in part by an educational grant from LILLY USA, LLC which had no control over its content