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Stick to effective computerised CBT

I read with interest Dr Chris Williams's article on alternative self-help CBT (Clinical, 24 October).

What he failed to mention was that only Beating the Blues has undergone sufficiently rigorous trials to gain NICE approval, along with successful pilot schemes in both primary and secondary care (Br J Clin Psychol 2006 Nov; 45:499-514; Br J Clin Psychol 2007 15 Oct).

Both Overcoming Depression and COPE were found to be sorely lacking. He places these in the ‘free self-help' category where in fact Beating the Blues should be freely available for all mild-moderate depression.

Sadly such poorly-trialled alternatives to the NICE-approved CCBT have merely provided an excuse for PCTs to delay implementation of NICE guidance, which is ultimately not only a false economy but a big letdown for all sufferers.

From Dr A Sheldon, Norwich

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