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Psychiatry

Assessment and Follow-Up for Depressive Symptoms

Persistent low mood, loss of interest, low energy and sleep changes are assessed and follow-up is planned.

What is it?

Everyone feels sad at times. But if low mood, lack of enjoyment, tiredness, poor concentration and changes in sleep or appetite last for weeks and make daily life harder, an assessment is advisable.

Severity, duration and impact on life are considered. Options may include psychotherapy, medication, lifestyle adjustments or a combination.

The course and response to treatment differ markedly between people. The plan is updated at regular sessions based on your feedback. If thoughts of self-harm intensify, call 112 without delay.

Who is it assessed for?

  • People with low mood or lack of motivation for more than two weeks
  • Those noticing they no longer enjoy things they used to
  • People with marked changes in sleep or appetite
  • Those experiencing mood changes after giving birth
  • People noticing symptoms again after a previous episode

Step by step

  1. 1

    Detailed interview

    Onset of symptoms and their effect on daily life are discussed.

  2. 2

    Safety assessment

    Thoughts of self-harm are asked about openly and without judgement.

  3. 3

    Options

    Psychotherapy, medication and lifestyle changes are considered together.

  4. 4

    Follow-up

    Progress and the plan are reviewed at regular sessions.

Questions

Do I have to take medication?

No. Medication is one option discussed after assessment. For mild to moderate symptoms psychotherapy alone may be planned; the decision is made with you.

How long will follow-up last?

It varies with severity and how things progress during follow-up.

What if I have thoughts of harming myself?

Sharing these thoughts with your doctor is important. If they intensify or you do not feel safe, call 112 without delay.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.