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What is psychotherapy? - a description for patients of different types of psychotherapy
CANMAT 2016 guidelines recommend the following:
- First-line psychological treatments for acute major depressive disorder (MDD) include:
- cognitive-behavioural therapy (CBT)
- interpersonal therapy (IPT) and
- behavioural activation (BA)
- Second-line psychological treatment for acute MDD:
- computer-based and telephone-based psychotherapy
- Combining antidepressant and psychological treatment (CBT and IPT) where feasible as combined treatment is superior to either treatment alone
- First-line psychological treatments for maintenance include:
- CBT and
- mindfulness-based cognitive therapy (MBCT)
Note: If no or partial response to psychotherapy consider adding an antidepressant
- click here for medication table
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)
- Psychology today - online resource which helps find a therapist based on location, cost, type of therapy and insurance coverage
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
- Ottawa Mental Health Community Resource Directory.pdf
- includes information on various services including counselling, finances, immigrant services, legal services etc.
- Counselling Connect - same day or next day phone or video counselling session
- TOH/Bruyere FHT social work vs. Shared Care referral guideliines