Psychiatry Pathways
17 pathways
Work through 17 interactive psychiatry decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.
- Acute Psychosis ManagementAssessment and pharmacological management of first-episode and relapse psychosisNICE CG178 2014
- Depression ManagementStepped-care model for depression — talking therapies, antidepressants, and augmentationNICE CG90 2022
- Lithium Therapy MonitoringLithium initiation, therapeutic monitoring, and toxicity managementNICE CG185
- Alcohol Withdrawal ManagementCIWA-Ar scoring, benzodiazepine regimen, and Wernicke's prophylaxisNICE CG115 2010
- Eating Disorder AssessmentMedical risk stratification in anorexia nervosa and management pathwayNICE CG9 2017 / MARSIPAN
- Bipolar Disorder ManagementNICE NG185 — distinguish acute mania / depression / mixed / euthymia, mood stabilisers, address psychosocial.NICE NG185 (2014, updated 2023)
- Generalised Anxiety DisorderNICE CG113 stepped care — psychoeducation → low-intensity → high-intensity (CBT) → SSRI.NICE CG113 (2011, reviewed)
- Obsessive-Compulsive DisorderNICE CG31 — stepped care, exposure + response prevention CBT, SSRI / clomipramine, longer treatment durations than depression.NICE CG31 (2005, updated)
- Post-Traumatic Stress DisorderNICE NG116 — trauma-focused CBT or EMDR first-line, SSRI/venlafaxine if not effective, screen for comorbidity.NICE NG116 (2018)
- Mental Health Act AssessmentMHA 1983 (amended 2007) — sections 2 / 3 / 4 / 5 / 136 / 135 — when each applies, lawful procedure, rights.MHA 1983; Code of Practice 2015
- Suicide Risk AssessmentNICE NG225 — comprehensive psychosocial assessment; do NOT use risk stratification tools as basis for management; focus on safety planning.NICE NG225 (2022)
- Adult ADHD DiagnosisNICE NG87 — DSM-5 / ICD-11 criteria, structured interview (DIVA), exclude differentials, multimodal management (psychostimulants + non-pharm).NICE NG87 (2018)
- Adult Autism DiagnosisNICE CG142 — recognition, autism diagnostic instruments (ADOS, AAA, RAADS-R), comprehensive assessment, support not 'cure'.NICE CG142 (2012, updated)
- Emotionally Unstable Personality Disorder ManagementNICE CG78 — psychological therapy first-line (DBT, MBT, schema-focused), avoid medication for primary symptoms, manage crisis, treat comorbidity.NICE CG78 (2009, reviewed)
- Perinatal Mental HealthNICE CG192 — antenatal + postnatal mental illness, suicide leading cause of maternal death, urgent assessment, drug safety in pregnancy / breastfeeding.NICE CG192 (2014, updated)
- Opioid Use DisorderOpioid substitution therapy (methadone / buprenorphine), naloxone provision, harm reduction, comorbidity.Orange Book (Drug misuse and dependence — UK guidelines on clinical management 2017); NICE NG241
- Insomnia ManagementNICE NG215 / CKS — diagnose, exclude secondary causes, CBT-I first-line, pharmacotherapy short-term only.NICE NG215 (2022); CKS