Select treatmentsfor further details For mild depression For refractory mild depression For moderate to severe depression For refractory moderate to severe depression For relapseprevention © 2019 BMJ Publishing group Ltd. Managing depression A guide to options for primary care Interactive Low intensity Psychological Pharmacological Intervention types Computerised cognitive behavioral therapy Psychological intervention cCBT Treatment for: Inclusion in guidelines: Discrete, time-limited, structured psychological intervention where the patient (1) works collaboratively with the therapist to identify the types and effects of thoughts, beliefs and interpretations on current symptoms; (2) develops skills to identify and monitor problematic thoughts, beliefs and interpretations; (3) learns a repertoire of strategies to counteract problematic thoughts, beliefs and interpretations. May be delivered in group or individual settings or via online and computerised versions either with or without the help of a trained therapist (guided cCBT vs. self-guided cCBT respectively) EnglandNICE Canada CanMAT SpainSpanish National health Service Australia and New ZealandRANZCP United States of AmericaAPA United States of AmericaAPA Australia and New ZealandRANZCP SpainSpanish National health Service Canada CanMAT EnglandNICE Physical activity should be considered as a treatment for mild depression when a person does not want other forms of more formal intervention such as medications or talking therapies and where there are no or low risks of harm to self or others, or as an adjunct to other treatments (medications or therapy) Summary Common side effects