Bibliographic information

GuidelineMental Health Gap Action Programme (‎mhGAP)‎ guideline for mental, neurological and substance use disorders, [‎3rd ed.]‎.
Year of Publication2023
Issuing InstitutionWorld Health Organization

Recommendation

New

Brief, structured psychological interventions based on principles of cognitive behavioural therapy (CBT) should be offered for adults with generalized anxiety disorder (GAD) and/or panic disorder

Recommended in favor

Strong

Notes and Remarks

Remarks y Provision of psychological interventions should be based on appropriate diagnosis and need for care. Many individuals suffering transient anxiety may improve with less intensive psychosocial interventions (e.g. stress management) or basic support and problem solving. y Face-to-face brief psychological interventions delivered by service providers is human resourceintensive as it requires substantial provider time, training and supervision. y Integrating the provision of brief psychological interventions into primary care provides many advantages, including more holistic health care, increased accessibility of mental health services for people in need of care, opportunities for reducing the stigma of mental health problems and reduced costs.

Implementation considerations y Brief psychological interventions can be delivered effectively in non-specialized health-care settings as well as in other settings, including specialized mental health care and social care. y Most psychological interventions may be delivered by a wide range of professional staff: counsellors, psychologists, nurses, lay health counsellors and health volunteers. This increases the feasibility of the implementation of psychosocial interventions. y Task sharing has been found to be an effective approach to delivering brief psychological interventions. y See recommendation ANX3 for discussion of recommended delivery formats for brief, structured psychological interventions. y Country adaptation and translation of training materials and tools for the provision of psychological interventions is essential.