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23 Nov, 9 tweets, 3 min read
Doctors set to offer people with mild depression alternatives to antidepressants.

The National Institute for Health and Care Excellence (Nice) said patients should be offered a choice of therapy or exercise before medication.
The new guidelines – which are subject to consultation – also call for individual counselling sessions to be made available.

‘Do not routinely offer antidepressant medication as first-line treatment for less severe depression, unless that is the person’s preference.’
Doctors are being urged to talk to patients about what would suit them best – adding that group therapy could be offered as a first treatment.

The treatment focuses on how thoughts, beliefs, attitudes, feelings and behaviour interact, sets goals and teaches better coping skills.
Barbara Sahakian, a professor of clinical neuropsychology at Cambridge University, suggested that the treatments are ‘much better’ but patients must be ‘committed to them’ and said they require effort.
She told BBC Radio 4’s Today programme: ‘Some people do prefer a quick fix (like tablets) but it is better for you in the long run to be able to manage your emotions and depression rather than have to take drugs for it… especially if you have got mild depression.’
Other interventions suggested include group behavioural activation, which helps the person to recognise negative patterns and focus on mood improving behaviours.

Individual BA or CBT may also be offered alongside group mindfulness or meditation, group exercise and counselling.
People could be offered a ‘menu’ as part of a discussion about what may be contributing to their depression.

The new draft guideline is the first in 12 years to identify, treat and manage depression in adults.
Dr Paul Chrisp said: ‘People with depression deserve and expect the best treatment from the NHS which is why this guideline is urgently required.

‘The Covid-19 pandemic has shown us the impact depression has had on the nation’s mental health.
‘People with depression need these evidence-based guideline recommendations available to the NHS, without delay.’

The guidance also tells doctors to discuss mental health waiting lists with patients and how long they may need to wait for treatment.

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More from @MetroUK

24 Nov
The head of the Oxford jab programme has warned that those who have not had a jab are now virtually the only ones struggling to breathe 💉…
Professor Sir Andrew Pollard's intervention comes with various medics working in hospital expressing similar concerns – with some saying their patience is ‘wearing thin’ with anti-vaxxers and the amount of resources the NHS is spending on people who have not been jabbed.
In a Guardian piece jointly authored Oxford University infectious diseases professor Brian Angus, Sir Andrew wrote: ‘This ongoing horror (of patients fighting for breath), which is taking place across ICUs in Britain, is now largely restricted to unvaccinated people.'
Read 9 tweets
24 Nov
Her Majesty Queen Elizabeth II recieves a remarkable 300 letters a day.

But after finding herself struggling with a series of health issues recently she is looking for an assistant corresponce officer to help with replies.…
Her Majesty reportedly receives up to 300 letters per day – or more than 60,000 a year – and she famously sends people bespoke notes for their 100th birthday.

We're getting hand cramp just thinking about it.
The successful applicant must have administrative experience and ‘excellent’ written communication skills, and must also be able to handle a large volume of correspondence.

Based at Buckingham Palace, it is a 37.5-hour week and it pays £23,500 a year.
Read 8 tweets
24 Nov
Norwegian postal service Posten has released its Christmas TV advert, with Santa Claus finding the man of his dreams.

Titled When Harry met Santa, the advert acknowledges the 50th anniversary of Norway decriminalising homosexuality in 1972.…
In it, a shirtless Harry comes downstairs to catch a startled Santa laying out presents under the tree before blushing and dashing off up the chimney.

The following year, Harry lies in bed wondering if Santa will return before hearing knocking in the living room.
As he creeps downstairs, he finds Santa gazing into a black and white photo of Harry in his younger years.

Jumping another 12 months, Harry has got himself all dressed up for Santa, puts on his best cologne and falls asleep on the sofa.
Read 10 tweets
24 Nov
Labour MP Stella Creasy has insisted ‘politics and parenting can mix’ after being told she could no longer bring her three-month-old son to the Commons,…
The mum-of-two, who represents Walthamstow, shared an email which was sent after she brought her baby Pip to a debate yesterday.

The private secretary, who Eleanor Laing, wrote to Ms Creasy: ‘We have been made aware that you were accompanied by your baby in Westminster Hall.'
‘I just wanted to make you aware that the recently published rules of behaviour and courtesies in the House of Commons states that, “You should not take your seat in the Chamber when accompanied by a child” (para 42).’
Read 13 tweets
24 Nov
Call me, beep me, if you wanna reach me 📱📳

A collection of mobile phones detailing the history of the device has launched as an online museum with more than 2,000 handsets dating back to 1984.…
The Mobile Phone Museum, founded by Ben Wood and Matt Chatterley, includes high-res photos and backstories for many of the phones in its catalogue.

The museum began as a personal collection started by Mr Wood more than 25 years ago and has now grown to more than 2,100 handsets.
To mark the launch, a special one-day exhibition is being held in London, with pupils from a local primary school visiting to experience a show-and-tell with Mr Wood and the museum’s education team on the history of the mobile phone and its significance.
Read 8 tweets
23 Nov
Gambling topped a list of rejected web use at the Department of Health and Social Care last year.

The Whitehall department’s filtering systems also rejected 239 attempts to access malicious or spyware sites and 135 defined as ‘sex, pornography’.
Attempted betting was followed by over 700 clicks for ‘anonymizer’ tools, which make internet activity untraceable, and 406 for peer-to-peer file sharing sites.

Online betting accounted for most denied access, with more than 2,000 detections in figures disclosed to @MetroUK
The list also includes 186 tries at logging onto ‘tasteless’ content and 126 of material defined as ‘illegal/questionable’, according to the data released under the Freedom of Information Act.
Read 8 tweets

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