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Alan Cohen was a GP for 25 years in Mitcham, south London, before joining Kensington and Chelsea Primary Care Trust as Clinical Director (April 2004 to May 2005). Since 2005 he has been Primary Care Advisor to the Care Services Improvement Partnership and he remains in active clinical practice. He also works as Senior Fellow at the Sainsbury Centre for Mental Health (134–138 Borough High Street, London SE1 1LB, UK. Email: Alan.cohen{at}scmh.org.uk). He was Chair of the London Development Centre for Mental Health, one of the eight regional development centres of the National Institute of Mental Health in England.
The management of anxiety and depression in primary care presents significant issues for workload and understanding the patient in terms of a bio-psychosocial model. There is no shortage of policy in this area, but finding effective and innovative ways of implementing that guidance is only just beginning. This article discusses some of the ways that implementation is happening for adults of working age.
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