Anti-Depressant / Anti-Anxiety Medication Review

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After submission of this form:

– The practice will continue your medication as usual if you have indicated you are happy with things

– Otherwise the practice will contact you in a few days time days time to arrange a review.

Name*
DD slash MM slash YYYY
eg Dr Turnbull / Dr Brooks

Psychological Therapies

Medication is just part of the treatment of depression and anxiety. It is important that counselling, psychology, CBT, self-help and education is also considered as part of your treatment. Please take a look at the resources available for Kirkliston and Winchburgh here.

Please confirm you have considered psychological therapies as part of your treatment*

Exercise

Exercise is a natural antidepressant. It promotes mental and physical health as well as positive body image. We can refer you to local exercise schemes.

Please confirm you have considered exercise as part of your treatment*

Alcohol

Consumption of more than 14 units per week is linked to poor mental and physical health. Here are some ways of cutting down.

Please confirm you have considered reducing alcohol as part of your treatment*

If your mood has been good for 6 months we would ask that you consider reducing or stopping your medication*

Would you like to continue your medication for the next year?*

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data.
Consent

© 2022 Kristian Turnbull

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