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Untreated depression in the community

  • Gavin Andrews (a1), Nickolai Titov (a2) and Genevieve Schwencke (a2)
Abstract
Aims and Method

Reaching into the community to treat people with anxiety and depressive disorders raises the spectre of wrongful use of scarce resources at best, and of disease mongering at worst. We recruited for an internet-based treatment for social phobia.

Results

Applications were received from 789 people, and 205 were rejected because of severe depression or suicidal thoughts. Many were excluded because they had another disorder or were in treatment. Some dropped out, only 7 were subthreshold cases and 291 people with social phobia were treated.

Clinical Implications

Despite easy access to clinicians, the burden of untreated serious mental disorder in the community remains considerable.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Summerfield, D, Veale, D. Proposals for massive expansion of psychological therapies would be counterproductive across society. Br J Psychiatry 2008; 192: 326–30.
2 Titov, N, Andrews, G, Schwencke, G. Shyness 1: a randomized controlled trial of an internet-based treatment for social phobia. Aust N Z J Psychiatry 2008; 42: 585–94.
3 Titov, N, Andrews, G, Schwencke, G. Shyness 2: treating social phobia online. Are the results reliable, and who benefits? Aust N Z J Psychiatry 2008; 42: 595605.
4 Kroenke, K, Spitzer, RL, Williams, JBW. The PHQ-9. Validity of a brief depression severity measure. J Gen Int Med 2001; 16: 606–13.
5 Begg, S, Vos, T, Barker, B, Stevenson, C, Stanley, L, Lopez, A. The Burden of Disease and Injury in Australia 2003. PHE 82. Australian Institute of Health and Welfare, 2007.
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8 Department of Health and Ageing. Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (MBS) initiative. Department of Health and Ageing, 2008 (http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-b-better).
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Untreated depression in the community

  • Gavin Andrews (a1), Nickolai Titov (a2) and Genevieve Schwencke (a2)
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