If there is more than one disorder present:

• best to treat an alcohol problem first, if present
• if low mood, treatment for depression takes priority over anxiety or unexplained somatic complaints
• if anxiety symptoms present, treatment for anxiety takes priority over unexplained somatic complaints. The latter increase in the presence of depression or anxiety

If patient has an identified disorder:

• see relevant guideline to help determine treatment plan
• use relevant interactive summary card(s), if available, with the patient to help explain the disorder
• provide self-help leaflets, if available, and explain how this should be used
• set up a follow-up visit(s) to review treatment

If patient appears to have sub-threshold disorder(s):
(i.e. positive responses to many questions, but not enough to fulfil the diagnostic criteria for a disorder):

• medication may not be necessary
• use the relevant Advice and support to primary support group section of the guidelines and provide patient leaflets if available
• use relevant interactive summary card(s), if available, with the patient to help explain the disorder
• indicate that you are available for consultation should the need arise