Letters Depression in adolescents

Collaboration to overcome barriers in primary care

BMJ 2010; 340 doi: http://dx.doi.org/10.1136/bmj.c908 (Published 17 February 2010) Cite this as: BMJ 2010;340:c908
  1. Tami Kramer, consultant child and adolescent psychiatrist/senior clinical research fellow1,
  2. Steven Iliffe, professor of primary care for older people2,
  3. Lisa Miller, executive partner3,
  4. Julia Gledhill, consultant child and adolescent psychiatrist4,
  5. Elena Garralda, professor of child and adolescent psychiatry5
  1. 1Imperial College London/ Central and North West London NHS Foundation Trust, Academic Child and Adolescent Psychiatry, London W2 1PG
  2. 2UCL Royal Free Campus, London NW3 2PF
  3. 3Lonsdale Medical Centre, London NW6 6RR
  4. 4Central and North West London NHS Foundation Trust, Harrow Child and Adolescent Mental Health Services, South Harrow HA2 9DX
  5. 5Imperial College London, St Mary’s Campus, London W2 1PG
  1. t.kramer{at}imperial.ac.uk

    Thapar and colleagues’ review of managing and preventing depression in adolescents highlights primary care’s role in detection and initial management and alludes to pragmatic psychosocial approaches.1 However, attempts to increase the involvement of primary care are impeded by concerns about medicalising depression, which means that psychological problems are not explored even when …

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