Psychotherapy

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