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Psychotherapy

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CANMAT 2016 guidelines recommend the following:

1. First-line psychological treatments for acute  major depressive disorder (MDD) include:

  • cognitive-behavioural therapy (CBT)
  • interpersonal therapy (IPT) and
  • behavioural activation (BA)


2. Second-line psychological treatment for acute MDD:

  • computer-based and telephone-based psychotherapy


3. Combining antidepressant and psychological treatment (CBT and IPT) where feasible as combined treatment is superior to either treatment alone


4. First-line psychological treatments for maintenance include:

  • CBT and 
  • mindfulness-based cognitive therapy (MBCT)  


What is psychotherapy


Resources

For those with work benefits for psychological treatment options include accessing their Employment Assistance Program (EAP) or using benefits for

  • Psychologists (on eMentalHealth.ca)
  • Social workers (on eMentalHealth.ca)
  • Registered psychotherapists (on eMentalHealth.ca)


For those without work benefits or funds to self-finance psychotherapy go to:

  • Psychotherapy in your area (on eMentalHealth.ca)


BounceBack (free telephone-guided CBT)

  • Ontario 
  • BC
  • Manitoba


AbilitiCBT -  internet-based CBT with a registered therapist (free for residents of Ontario and Manitoba)


MindBeacon- internet-based CBT with a registered therapist (free for Ontario residents)


Consider working with your patient using the Antidepressant Skills Workbook (ASW):

  • ASW website 
  • Patient info about ASW pdf
  • Physician info about ASW pdf


Ottawa resources
  • Ontario Structured Psychotherapy  - free individual CBT
  • Community resources in Ottawa including counselling pdf
  • Counselling Connect - same day or next day phone or video counselling session
  • TOH/Bruyere FHT social work vs. Shared Care referral guideliines
    • TOH pdf
    • Bruyere pdf


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