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Behavioural activation therapy was as effective and more cost effective than CBT for people with depression and can be delivered by mental health workers with no professional training in psychological therapies

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David A Richards, Shelley Rhodes, David Ekers, Dean McMillan, Rod S Taylor, Sarah Byford, Barbara Barrett, Katie Finning, Poushali Ganguli, Fiona Warren, Paul Farrand, Simon Gilbody, Willem Kuyken, Heather O’Mahen, Ed Watkins, Kim Wright, Nigel Reed, Emily Fletcher, Steven D Hollon, Lucy Moore, Amy Backhouse, Claire Farrow, Julie Garry, Deborah Kemp, Faye Plummer, Faith Warner & Rebecca Woodhouse.

David A Richards 1,*, Shelley Rhodes 1, David Ekers 2, Dean McMillan 3, Rod S Taylor 1, Sarah Byford 4, Barbara Barrett 4, Katie Finning 1, Poushali Ganguli 4, Fiona Warren 1, Paul Farrand 5, Simon Gilbody 3, Willem Kuyken 6, Heather O’Mahen 5, Ed Watkins 5, Kim Wright 5, Nigel Reed 7, Emily Fletcher 1, Steven D Hollon 8, Lucy Moore 1, Amy Backhouse 1, Claire Farrow 2, Julie Garry 1, Deborah Kemp 2, Faye Plummer 9, Faith Warner 1, Rebecca Woodhouse 3

1 University of Exeter Medical School, St Luke’s Campus, Exeter, UK
2 Psychological Therapy, Tees, Esk & Wear Valleys NHS Foundation Trust, County Durham, UK
3 Department of Health Sciences, University of York, York, UK
4 Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK
5 Sir Henry Wellcome Building for Mood Disorders Research, University of Exeter, Exeter, UK
6 Oxford Mindfulness Centre, Department of Psychiatry, University of Oxford, Oxford, UK
7 Lived Experience Group, care of Sir Henry Wellcome Building for Mood Disorders Research, University of Exeter, Exeter, UK
8 Department of Psychology, Vanderbilt University, Nashville, TN, USA
9 Academic Unit of Elderly Care and Rehabilitation, Leeds Institute of Health Sciences, Bradford Royal Infirmary, Bradford, UK
* Corresponding author Email:

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Response by Professor David Richards on 20 December 2021 at 3:46 PM
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