There is a growing evidence base in support of the effectiveness of acupuncture for a range of musculoskeletal conditions11, 12; however, despite its widespread use by participants13 there has been limited evidence for acupuncture
as an effective treatment option for depression.14 Patients with strong preferences for psychotherapy or counselling for depression are not likely to engage in
antidepressant treatment, 15 yet the evidence for counselling
as a treatment for depression is limited16 despite widespread utilisation in primary care in the UK, with around 90 % of general practices providing on - site counselling services.17 To address this evidence gap, a randomised controlled trial Acupuncture, Counselling or Usual Care for Depression (ACUDep) compared acupuncture or counselling to usual care
as treatments for primary care patients with ongoing depression.18 The results showed that acupuncture and counselling were
clinically effective in reducing depression in the short to medium term.