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Clinical practice guidelines, psychotherapy and implications for psychiatry.
Gil Anaf1, Melinda Hill2, Shirley Prager3
1Consultant Psychiatrist and Psychoanalyst, Adelaide, SA, Australia.
Summary
The 2020 clinical practice guidelines for mood disorders contain errors and face criticism. Retraction and amendment are necessary to align with current evidence and practice.
Area of Science:
- Psychiatry
- Clinical Practice Guidelines
Background:
- The 2020 Royal Australian and New Zealand College of Psychiatrists (RANZCP) clinical practice guidelines (CPG) for mood disorders were published in January 2021.
- These guidelines present significant questions regarding current psychiatric practice and teaching.
Approach:
- This review critically appraises the content of the CPG.
- The appraisal examines whether the CPG accurately reflects contemporary practice-based evidence in mood disorder management.
Key Points:
- The review identified factual errors within the CPG.
- International criticism of the CPG has been noted.
Conclusions:
- The CPG requires retraction and amendment.
- Urgent revision is particularly important given the current sociopolitical context.
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