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Effective treatments include lithium (400mg/day), day care centre activities (e.g. creative activities), distracting herself from depression, counselling, diet changes and Internet research.
Helpful approaches include counselling (which has helped him to address past abuse as well as being gay) removed himself from a bullying workplace; settling debts, swimming and moving away from London.
Has responded well to Cognitive Behavioural Therapy. He has the support of his wife and has built his confidence in a local sporting club. He recognises depression as a phase that passes.
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