Depression in adults with a chronic physical health problem: recognition and management : guidance (CG91)

NICE Accredited

National Institute for Health and Care Excellence - NICE
Publication date:
28 October 2009


This guideline covers identifying, treating and managing depression in people aged 18 and over who also have a chronic physical health problem such as cancer, heart disease or diabetes. It aims to improve the care of people with a long-term physical health problem, which can cause or exacerbate depression. This has the potential to increase their quality of life and life expectancy.

NICE has also produced a guideline on depression in adults: recognition and management.


This guideline includes recommendations on:

 Who is it for?

  •  Healthcare professionals
  • Adults with depression and a chronic physical health problem, and their families and carers 

Guideline development process

How we develop NICE guidelines

This guideline updates recommendations made in NICE technology appraisal guidance 97 for the treatment of depression only.

This guideline was previously called depression in adults with chronic physical health problem: treatment and management.