The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Gin S Malhi^{1

2

3}, Erica Bell^{1

2

3}, Darryl Bassett⁴, Philip Boyce^{5

6}, Richard Bryant⁷, Philip Hazell⁶, Malcolm Hopwood⁸, Bill Lyndon¹, Roger Mulder⁹, Richard Porter⁹, Ajeet B Singh¹⁰, Greg Murray¹¹

Affiliations

¹ The University of Sydney, Faculty of Medicine and Health, Northern Clinical School, Department of Psychiatry, Sydney, NSW, Australia.
² Academic Department of Psychiatry, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW, Australia.
³ CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW, Australia.
⁴ Consultant Psychiatrist, Perth, WA, Australia.
⁵ Department of Psychiatry, Westmead Hospital and the Westmead Clinical School, Wentworthville, NSW, Australia.
⁶ Discipline of Psychiatry, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
⁷ School of Psychology, University of New South Wales, Sydney, NSW, Australia.
⁸ Department of Psychiatry, University of Melbourne and Professorial Psychiatry Unit, Albert Road Clinic, Melbourne, VIC, Australia.
⁹ Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
¹⁰ The Geelong Clinic Healthscope, IMPACT - Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC, Australia.
¹¹ Centre for Mental Health, Swinburne University of Technology, Hawthorn, VIC, Australia.

PMID: 33353391
DOI: 10.1177/0004867420979353

The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Gin S Malhi et al. Aust N Z J Psychiatry. 2021 Jan.

. 2021 Jan;55(1):7-117.

doi: 10.1177/0004867420979353.

Authors

Affiliations

¹ The University of Sydney, Faculty of Medicine and Health, Northern Clinical School, Department of Psychiatry, Sydney, NSW, Australia.
² Academic Department of Psychiatry, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW, Australia.
³ CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW, Australia.
⁴ Consultant Psychiatrist, Perth, WA, Australia.
⁵ Department of Psychiatry, Westmead Hospital and the Westmead Clinical School, Wentworthville, NSW, Australia.
⁶ Discipline of Psychiatry, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
⁷ School of Psychology, University of New South Wales, Sydney, NSW, Australia.
⁸ Department of Psychiatry, University of Melbourne and Professorial Psychiatry Unit, Albert Road Clinic, Melbourne, VIC, Australia.
⁹ Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
¹⁰ The Geelong Clinic Healthscope, IMPACT - Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC, Australia.
¹¹ Centre for Mental Health, Swinburne University of Technology, Hawthorn, VIC, Australia.

PMID: 33353391
DOI: 10.1177/0004867420979353

Abstract

Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence and supplemented by expert clinical consensus to formulate s that maximise clinical utility.

Methods: Articles and information sourced from search engines including PubMed, EMBASE, MEDLINE, PsycINFO and Google Scholar were supplemented by literature known to the mood disorders committee (e.g. books, book chapters and government reports) and from published depression and bipolar disorder guidelines. Relevant information was appraised and discussed in detail by members of the mood disorders committee, with a view to formulating and developing consensus-based recommendations and clinical guidance. The guidelines were subjected to rigorous consultation and external review involving: expert and clinical advisors, key stakeholders, professional bodies and specialist groups with interest in mood disorders.

Results: The Royal Australian and New Zealand College of Psychiatrists mood disorders clinical practice guidelines 2020 (MDcpg²⁰²⁰) provide up-to-date guidance regarding the management of mood disorders that is informed by evidence and clinical experience. The guideline is intended for clinical use by psychiatrists, psychologists, primary care physicians and others with an interest in mental health care.

Conclusion: The MDcpg²⁰²⁰ builds on the previous 2015 guidelines 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.

Mood disorders committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Philip Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Richard Porter, Ajeet B Singh and Greg Murray.

Keywords: Guidelines; bipolar disorder; depression; depressive disorder; management; mania; mood disorders; treatment.

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Comment in

Virtual guidance: Mood disorders guidelines '2. Oh'!
Malhi GS, Bell E, Bassett D, Boyce P, Hopwood M, Murray G, Porter R, Singh A, Mulder R. Malhi GS, et al. Aust N Z J Psychiatry. 2022 Jun;56(6):725-726. doi: 10.1177/00048674211010244. Epub 2021 May 2. Aust N Z J Psychiatry. 2022. PMID: 33938288 No abstract available.
RANZCP clinical practice guidelines - time to digitise.
Lugg W. Lugg W. Aust N Z J Psychiatry. 2021 Nov;55(11):1114-1116. doi: 10.1177/00048674211010341. Epub 2021 May 5. Aust N Z J Psychiatry. 2021. PMID: 33951951 No abstract available.
The 'difficult-to-treat depression' and the 'response paradigm' models: Implications and relevance to patient management.
McAllister-Williams RH, Aaronson ST, Conway CR, Demyttenaere K, Fitzgerald PB, Loo CK, Mitchell PB, Rush AJ, Sackeim HA, Young AH. McAllister-Williams RH, et al. Aust N Z J Psychiatry. 2021 Aug;55(8):824-825. doi: 10.1177/00048674211013090. Epub 2021 May 10. Aust N Z J Psychiatry. 2021. PMID: 33971766 Free PMC article. No abstract available.
The clinical practice guidelines.
Rosenman SJ. Rosenman SJ. Aust N Z J Psychiatry. 2021 Nov;55(11):1116. doi: 10.1177/00048674211010334. Epub 2021 May 19. Aust N Z J Psychiatry. 2021. PMID: 34011190 No abstract available.
Channelling a response to difficult-to-treat depression: A need for ratiocination, not rash assassination!
Malhi GS, Bell E. Malhi GS, et al. Aust N Z J Psychiatry. 2021 Aug;55(8):825-827. doi: 10.1177/00048674211017226. Epub 2021 May 31. Aust N Z J Psychiatry. 2021. PMID: 34058830 No abstract available.
Five facts about rTMS.
Malhi GS, Bell E. Malhi GS, et al. Aust N Z J Psychiatry. 2022 Jun;56(6):726. doi: 10.1177/00048674211026760. Epub 2021 Jul 7. Aust N Z J Psychiatry. 2022. PMID: 34231421 No abstract available.
In Reply: Psychodynamic therapy of depression.
Leichsenring F, Luyten P, Abbass A, Steinert C. Leichsenring F, et al. Aust N Z J Psychiatry. 2022 Sep;56(9):1202-1204. doi: 10.1177/00048674221108637. Epub 2022 Jul 2. Aust N Z J Psychiatry. 2022. PMID: 35786011 No abstract available.

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The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Affiliations

The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Authors

Affiliations

Abstract

Comment in

MeSH terms

LinkOut - more resources

Full Text Sources

Medical