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Joined-up thinking over depression

From Alison Leyland

Primary care counsellor

Wells, Somerset

While I applaud your clear reporting on the inadequate provision of therapeutic care within primary care, I read your article (2 March) with concern.

I am concerned that there are many highly qualified and experienced people like me ­ who have an understanding of the many levels and causes of depression ­ who are in danger of being expected to deskill in order to fit in with a structure of provision that reflects an inappropriate purely medical model of depression and of other psychological distress.

The time is coming when we must see people as a whole ­ the 'joined-up thinking' we keep hearing about ­ where lifestyle and mental and physical wellness are seen together and we work as a team and not in discrete pockets.

For this to happen, yes, there has to be regulation and recognition of what training is and is not adequate for the job.

My fear is that in this process the fundamental givens of our work may be lost. I hope my fears are unfounded.

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