Year : 2017  |  Volume : 59  |  Issue : 5  |  Page : 9-

Preamble of the Clinical Practice Guidelines

Shiv Gautham, Ajit Avasthi, Sandeep Grover 

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How to cite this article:
Gautham S, Avasthi A, Grover S. Preamble of the Clinical Practice Guidelines.Indian J Psychiatry 2017;59:9-9

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Gautham S, Avasthi A, Grover S. Preamble of the Clinical Practice Guidelines. Indian J Psychiatry [serial online] 2017 [cited 2020 Sep 22 ];59:9-9
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From 2005 onwards, the Indian Psychiatric Society came up with treatment guidelines for various psychiatric disorders to meet the requirements of our patients in the context of prevailing existing resources. There have been several developments in the management of these disorders since then. In view of the same, it was decided to update the existing treatment guidelines for various psychiatric disorders. These new set of guidelines attempt to update the previous guidelines by emphasizing what is new in the field. These guidelines should be read in conjunction with the earlier version of the clinical practice guidelines as developed and published by the Indian Psychiatric Society in the year 2005 & 2006.

These guidelines are not particularly applicable to any specific treatment setting and may need minor modifications to suit the needs of patients in a specific setting. The recommendations are primarily meant for adult patients. The needs of children or the elderly may be different. Finally, it is expected that recommendations made will have to be tailored to suit the needs of individual patients. Although these guidelines focus on management of various disorders, yet the clinicians need to remember that management must focus on the whole patient and not just the disorder. The recommendations given as part of the revised guidelines are based on the available evidence base, expert consensus and the feedback obtained from the membership.

Several factors influence the treatment of various psychiatric disorders. Common ingredients of management plan are shown in [Table 1]. Particular consideration needs to be given to clinical parameters like cross-sectional and longitudinal course of symptoms, type of predominant symptoms, presence or absence of medical comorbidity, comorbid substance abuse/dependence, life stage of patients and their special needs. Socio-cultural factors e.g. beliefs about the illness and their treatments are particularly important, as are the availability of treatment-resources. The general goals of treatment should be to decrease the frequency, severity and impact of episodes (exacerbations) and maximize functioning between the episodes. Specific goals will depend on the specific phases of illness.{Table 1}