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Key Point

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Core symptoms:

 Symptoms of both depression and anxiety are present

 Neither is predominant

 Symptoms are not sufficient to meet diagnostic criteria for a depressive episode or any anxiety disorder.

Reaching this probable diagnosis should rarely be used in mental health services as many service users will come with symptoms sufficient for a diagnosis of depression or at least one anxiety disorder. In these circumstances a probable diagnosis of MADD does not apply.

Low-intensity CBT Skills and Interventions

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