To the Editor: I cannot argue with the push by Hickie and McGorry for services for young people from 12 to 25 years of age who suffer from “depression”.1 But I question their sequencing of treatments model that pervades the beyondblue draft clinical practice guidelines about which they editorialise.
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- Clayton Community Mental Health Clinic, Melbourne, VIC.
Correspondence: ianh@med.usyd.edu.au
- 1. Hickie IB, McGorry PD. Guidelines for youth depression: time to incorporate new perspectives [editorial]. Med J Aust 2010; 193: 133-134. <MJA full text>
- 2. Thase ME. Bipolar depression: issues in diagnosis and treatment. Harv Rev Psychiatry 2005; 13: 257–271.
- 3. Parker G, Fink M, Shorter E, et al. Issues for DSM-5: whither melancholia? The case for its classification as a distinct mood disorder. Am J Psychiatry 2010; 167: 745-747.
- 4. Perlis RH, Brown E, Baker RW, et al. Clinical features of bipolar depression versus major depressive disorder in large multicenter trials. Am J Psychiatry 2006; 163: 225–231.
- 5. Goldberg JF, Perlis RH, Bowden CL, et al. Manic symptoms during depressive episodes in 1,380 patients with bipolar disorder: findings from the STEP-BD. Am J Psychiatry 2009; 166: 173–181.
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