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Thinking Healthy A manual for psychosocial management of perinatal depression



Thinking Healthy manual is a supplement to the World Health Organization’s mhGAP Intervention Guide (mhGAP-IG). The mhGAP-IG was developed for use in non-specialized health-care settings. It includes guidance on evidence-based interventions to identify and manage a number of priority mental health conditions. One of the priority conditions is Depression in the perinatal period. The mhGAP-IG describes in detail what to do but does not go into descriptions of how to do. Training materials have been developed on how to use mhGAP-IG. The purpose of the Thinking Healthy Manual is to provide detailed instructions on how to implement the evidence-based guidelines contained in the mhGAP-IG for the management of perinatal Depression. 

The mhGAP-IG guidelines for management of perinatal Depression include the following:

• Psychosocial interventions should be the first-line of management of depression during pregnancy and breastfeeding. Antidepressant medication should be avoided as much as possible in this population – The Thinking Healthy is an evidence-based psychosocial intervention for Depression tailored to the perinatal period.

• Incorporate general principles of care – The Thinking Healthy approach provides instructions for empathic, clear and sensitive communication with women and their families, and mobilizing and providing social support.

• Provide psycho-education – The Thinking Healthy approach provides psycho-education in a way that avoids over-medicalization. Commonly understood terms such as stress and burden are used instead of depressive disorder or illness to avoid stigma.

• Provide cognitive behavior therapy (CBT) if available – The Thinking Healthy approach uses pictures and structured activities to deliver a simplified form of therapy based on principles of Cognitive Behaviour Therapy.

• Provide adjunct treatments such as structured physical activity, relaxation, and problem-solving if available – The Thinking Healthy approach integrates these activities into the daily routine of the mother.

• Reactivate social networks – The Thinking Healthy approach emphasizes the importance of social support throughout the intervention.

• Give attention to overall well-being. The Thinking Healthy approach attends to the physical as well as psychological health of the mother, in addition to emphasizing the importance of the mother-infant relationship in this period.

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ابتدائی نفسیاتی امداد ایسے مصیبت زدہ لوگوں کے لیے ہے جو حال ہی میں کسی المناک واقعے سے گزرے ہوں. آپ بچوں اور بڑوں دونوں ہی کو مدد فراہم کر سکتے ہیں. تاہم ہنگامی صورت حال سے گزرنے والے ہر شخص.


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