Review decision: November 2015

We checked this guideline and decided that it should not be updated at this time. For details see the update decision, decision matrix and the process for deciding if an update is needed.

Next review date: 2017

This guideline is published alongside depression: the treatment and management of depression in adults (NICE guideline CG90), which makes recommendations on the identification, treatment and management of depression in adults aged 18 years and older, in primary and secondary care.

It was previously called depression in adults with chronic physical health problem: treatment and management.

This guideline (and CG90) update recommendations made in computerised cognitive behaviour therapy for depression and anxiety (NICE technology appraisal guidance 97) for the treatment of depression only. The guidance in TA97 remains unchanged for the use of CCBT in the treatment of panic and phobia and obsessive compulsive disorder.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

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