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Mood disorders clinical practice guideline

Clinical guideline Last updated: Feb 2020 Published in Australia

Guidance on the clinical management of depressive and bipolar disorders, specifically focusing on diagnosis and treatment strategies.

Clinical Practice Guidelines are evidence-based documents that include recommendations intended to optimise patient care and assist health care practitioners to make decisions about appropriate health care for specific clinical circumstances. 

Clinical Practice Guidelines issued by RANZCP have a limited life. They are regularly reviewed and will be updated in light of appropriate new evidence that may emerge.

Long-term psychodynamic psychotherapy evidence review 

The Mood Disorders Clinical Practice Guideline was produced in 2015 and an update was released in 2020. 

In 2022, a steering group Chaired by Prof Bruce Singh was formed to oversee an external review of the evidence for long-term psychodynamic psychotherapy for the treatment of mood disorders.

For results of this review, and other updates see the Mood Disorders Hub. 

Downloads

Mood-disorders-clinical-practice-guideline-2020 PDF (9.4 MB)
PDF (9.4 MB)
Mood-disorders-clinical-practice-guideline-2015 PDF (4.4 MB)
PDF (4.4 MB)

Key practice points

The 2020 guideline builds on the previous guideline (issued in 2015) and maintains its joint focus on both depressive and bipolar disorders.

It provides up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus. 

The 2020 guideline: 

  • discusses the diagnosis and management of both depressive and bipolar disorders, recognising that these have increasingly been conceptualised as part of a spectrum
  • illustrates step-by-step the clinical management of mood disorders
  • provides guidance on the management of psychiatric comorbidities, including comorbid anxiety and comorbid substance use
  • considers the clinical management of mood disorders with complex presentations and in special populations. 

Additional guidance

Access further guidance related to mood disorders in the following documents developed by the College: 

  • Electroconvulsive therapy (ECT)
  • Repetitive transcranial magnetic stimulation (rTMS)
  • Transcranial direct current stimulation (tDCS)
  • Ketamine therapy
  • Medicinal cannabis 
  • Psychotherapy conducted by psychiatrists

Webinars, podcasts and e-learning modules

  • Psych Matters podcast - New Clinical Guidelines for Mood Disorders: Management of Bipolar Disorder (26 Feb 2021)
  • Psych Matters podcast - New Clinical Guidelines for Mood Disorders: Management of Major Depressive Disorder and Treatment Non-Response (14 Feb 2021)
  • Innovations in the 2020 RANZCP Clinical Practice Guideline for Mood Disorders – member login required

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We acknowledge Aboriginal and Torres Strait Islander Peoples as the First Nations and the Traditional Owners and Custodians of the lands and waters now known as Australia, and Māori as tangata whenua in Aotearoa, also known as New Zealand. We recognise those with lived and living experience of a mental health condition, including community members and all RANZCP members. We affirm their ongoing contribution to the improvement of mental healthcare for all people.

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