Stepped Care

Stepped Care ApproachStepped Care Approach

Stepped Care Approach

A stepped approach for the treatment of depression within primary care
Step One Early IdentificationStep One Early Identification

Step One Early Identification

Action: Screening and Assessment
Step Two Mild DistressStep Two Mild Distress

Step Two Mild Distress

Action: Active Monitoring
Step Three Moderate To Severe DistressStep Three Moderate To Severe Distress

Step Three Moderate To Severe Distress

Action: More Intensive Intervention and Close Monitoring
Step Four Recurrent, Atypical & High RiskStep Four Recurrent, Atypical & High Risk

Step Four Recurrent, Atypical & High Risk

Action: Risk Management, Complex Psychological Intervention


Recognising Stress

The following table lists some of the common warning signs and symptoms of stress. The more signs and symptoms you notice in yourself, the closer you may be to stress overload.

Stress Warning Signs and Symptoms

Cognitive Symptoms

Emotional Symptoms

  • Memory problems
  • Inability to concentrate
  • Poor judgment
  • Seeing only the negative
  • Anxious or racing thoughts
  • Constant worrying
  • Moodiness
  • Irritability or short temper
  • Agitation, inability to relax
  • Feeling overwhelmed
  • Sense of loneliness and isolation
  • Depression or general unhappiness

Physical Symptoms

Behavioural Symptoms

  • Aches and pains
  • Diarrhea or constipation
  • Nausea, dizziness
  • Chest pain, rapid heartbeat
  • Loss of sex drive
  • Frequent colds
  • Eating more or less
  • Sleeping too much or too little
  • Isolating yourself from others
  • Procrastinating or neglecting responsibilities
  • Using alcohol, cigarettes, or drugs to relax
  • Nervous habits (e.g. nail biting, pacing)

Keep in mind that the signs and symptoms of stress can also be caused by other psychological and medical problems. If you’re experiencing any of the warning signs of stress, it’s important to see a doctor for a full evaluation. Your doctor can help you determine whether or not your symptoms are stress-related.

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