Guidelines Quiz – Management of Depression in Children And Young People

Dr Rob Hicks

Disclosures

March 05, 2019

NICE guidelines advise that a child or young person with depression should be offered advice on the benefits of regular exercise and encouraged to consider following a structured and supervised exercise programme - typically up to three sessions per week of moderate duration (45minutes to 1hour) for 10 to 12 weeks. Advice should also be offered about sleep hygiene, anxiety management, and nutrition and the benefits of a balanced diet.

Since there are no trials of the use of St John’s wort in children and young people upon which to make a clinical decision, and because St John’s wort has an unknown side-effect profile and is known to interact with a number of other drugs, NICE says it should not be prescribed for the treatment of depression in children and young people. It also emphasises that healthcare professionals should only recommend self-help materials or strategies as part of a supported and planned package of care.

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