2013 Volume 25 Issue 3 Pages 262-267
Non-pharmacological approaches have been drawn attention since CBT was covered by medical insurance here in Japan. In major treatment guidelines of depression including Japanese, pharmacotherapy was recommended in moderate to severe cases, however in mild cases, non-pharmacological approaches were mentioned instead. In most guidelines, it was common that treatment should finally be decided by patient's background, and preference. Clinicians should understand and utilize non-pharmacological approaches as well as pharmacotherapy. Upon decision, Shared Decision Making (SDM), which is a bilateral way of decision making is recommended. Through this process, patients might feel relieved, satisfied, and agreed, and this could promote resilience.
