Follow-up: Psychotherapy

PHQ-9 BASED FOLLOW UP OF PSYCHOTHERAPY
Initial Response to Psychotherapy after Three Sessions over 4 - 6 weeks
PHQ-9 Score	Treatment Response	Treatment Plan
Drop of ≥ 5 points from baseline	Adequate	No treatment change needed. Follow-up in four weeks
Drop of 2 - 4 points from baseline	Probably Inadequate	Possibly no treatment change needed. Share PHQ - 9 with psychotherapist.
Drop of 1 - point or no change or increase	Inadequate	If depression - specific psychological counselling (CBT, PST, IPT*) discuss with therapist, consider adding antidepressant. For patients satisfied in other type of psychological counselling, consider starting antidepressant For patients dissatisfied in other psychological counselling, review treatment options and preferences