| General management | Specialist treatments |
|---|---|
| • Explanation of the diagnosis | • Cognitive behaviour therapy |
| • Reassurance that it is a real, common, and well recognised problem | • Antidepressant drugs |
| • Advice on specific treatments | • Psychosocial intervention for associated psychological, family, and social difficulties |
| • Advice on behaviour—such as not avoiding exercise | |
| • Discussion of concerns | |
| • Provision of written information | |
| • Involvement of relatives | |
| • Follow up to review | |
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