Psychiatry Pathways
17 pathways
- Acute Psychosis ManagementAssessment and pharmacological management of first-episode and relapse psychosisNICE CG178 2014
- Depression ManagementStepped-care model for depression — talking therapies, antidepressants, and augmentationNICE CG90 2022
- Lithium Therapy MonitoringLithium initiation, therapeutic monitoring, and toxicity managementNICE CG185 / BNF
- Alcohol Withdrawal ManagementCIWA-Ar scoring, benzodiazepine regimen, and Wernicke's prophylaxisNICE CG115 2010 / BNF
- Eating Disorder AssessmentMedical risk stratification in anorexia nervosa and management pathwayNICE CG9 2017 / MARSIPAN
- Bipolar Disorder ManagementNICE NG185 — distinguish acute mania / depression / mixed / euthymia, mood stabilisers, address psychosocial.NICE NG185 (2014, updated 2023)
- Generalised Anxiety DisorderNICE CG113 stepped care — psychoeducation → low-intensity → high-intensity (CBT) → SSRI.NICE CG113 (2011, reviewed)
- Obsessive-Compulsive DisorderNICE CG31 — stepped care, exposure + response prevention CBT, SSRI / clomipramine, longer treatment durations than depression.NICE CG31 (2005, updated)
- Post-Traumatic Stress DisorderNICE NG116 — trauma-focused CBT or EMDR first-line, SSRI/venlafaxine if not effective, screen for comorbidity.NICE NG116 (2018)
- Mental Health Act AssessmentMHA 1983 (amended 2007) — sections 2 / 3 / 4 / 5 / 136 / 135 — when each applies, lawful procedure, rights.MHA 1983; Code of Practice 2015
- Suicide Risk AssessmentNICE NG225 — comprehensive psychosocial assessment; do NOT use risk stratification tools as basis for management; focus on safety planning.NICE NG225 (2022)
- Adult ADHD DiagnosisNICE NG87 — DSM-5 / ICD-11 criteria, structured interview (DIVA), exclude differentials, multimodal management (psychostimulants + non-pharm).NICE NG87 (2018)
- Adult Autism DiagnosisNICE CG142 — recognition, autism diagnostic instruments (ADOS, AAA, RAADS-R), comprehensive assessment, support not 'cure'.NICE CG142 (2012, updated)
- Emotionally Unstable Personality Disorder ManagementNICE CG78 — psychological therapy first-line (DBT, MBT, schema-focused), avoid medication for primary symptoms, manage crisis, treat comorbidity.NICE CG78 (2009, reviewed)
- Perinatal Mental HealthNICE CG192 — antenatal + postnatal mental illness, suicide leading cause of maternal death, urgent assessment, drug safety in pregnancy / breastfeeding.NICE CG192 (2014, updated)
- Opioid Use DisorderOpioid substitution therapy (methadone / buprenorphine), naloxone provision, harm reduction, comorbidity.Orange Book (Drug misuse and dependence — UK guidelines on clinical management 2017); NICE NG241
- Insomnia ManagementNICE NG215 / CKS — diagnose, exclude secondary causes, CBT-I first-line, pharmacotherapy short-term only.NICE NG215 (2022); CKS