Computerised Cognitive Behavioural Therapy (cCBT)

cCBT and Psycho-educational Programmes

The Digital Psychological Intervention Team offer a range of highly effective computer-based treatment programmes for patients in Lothian.  The programmes are based on cognitive behavioural therapy, mindfulness and positive psychology.

These packages are interactive and very flexible, using internet enabled devices such as mobile phone, tablet or laptop. These CBT based products have been recommended by SIGN and NICE and can be delivered in a supported or unsupported format. 

Self-Referral cCBT

Self-guided programmes (unsupported) are self-referrals and can be accessed using the sign-up options below:

Wellbeing Silvercloud modules: self-referral access

https://wellbeing.silvercloudhealth.com/signup/nhsscotland/

Access Code: Scotland2020

• Money Worries
• Positive Body Image
• Sleep
• Stress
• Resilience
• Challenging Times

Please see the RefHelp Wellbeing self-referral page for more detail.

Daylight and Sleepio

‘Daylight’ is a program designed to help manage worry and anxiety, while ‘Sleepio’ targets insomnia—both supporting effective self-management of mental health.

Anxiety self-referral – DAYLIGHT – RefHelp (nhslothian.scot)

Insomnia – SLEEPIO – RefHelp (nhslothian.scot)

Clinical Referral cCBT

Supported ‘Silvercloud’ programmes are available through a clinical referral and include 3–4 reviews with a Wellbeing Worker, who provides online guidance at the review stage and support throughout the programme.

** Please note – this is not a real time chat or instant messaging platform

Silvercloud Programmes for Common Mental Problems

• Depression and Anxiety
• Depression
• Generalised Anxiety Disorder (GAD)
• Social Anxiety
• Health Anxiety
• OCD
• Panic
• Phobia
• Perinatal.

Silvercloud Supported Programmes that focus on the mental health aspects of living with a long-term condition

• Chronic Heart Conditions
• Chronic Pain
• Depression and Anxiety in COPD
• Depression and Anxiety in Diabetes
• Depression and Anxiety in Rheumatoid Arthritis.

Email access is required for the programme:

• Patients must have an email address and give explicit consent for it to be used to set up their SilverCloud account
• Once the referral is received, the Digital Interventions Team will create a SilverCloud account and provide immediate access to the programme.

Referrals are processed daily to ensure patients have quick and easy access to the digital treatment. Once a referral is received, patients are sent an activation email from SilverCloud. After activating their account, they gain immediate access to the SilverCloud programme.

After Referral: What Happens Next

Account Activation & Engagement

• SilverCloud sends automated email reminders prompting patients to activate their accounts
• At 2 weeks, an NHS Lothian ‘Administrator’ will call patients who have not activated their account
• At 4 weeks, an NHS Lothian ‘Wellbeing Worker’ will call patients who have not started the programme

Patient Support

The Digital Interventions Team is available during working hours Monday to Friday 08:30am-4:30pm to help with:

• Technical issues
• Access problems
• General queries

SilverCloud Suicide Risk Alerts

These are part of how the SilverCloud digital mental health platform flags and responds to signs that an individual using the service may be at risk of suicide and are above the threshold for patients with mild to moderate depression and anxiety.

What suicide risk alerts are:

• Automated risk screening: When a patient signs up and periodically while using SilverCloud, they complete standard questionnaires (e.g., PHQ-9 for depression). Certain responses on these tools especially indications of suicidal thoughts or intent can trigger a suicide risk alert.
• Triggers for alerts: An alert can be generated if the patient indicates active suicidal thoughts, a higher level of intent to harm themselves, or other concerning risk scores.
• Risk Alerts review: These alerts are received by the Digital Interventions team who inform the referrer/GP.
• Not an emergency service: SilverCloud itself isn’t a crisis hotline — it’s a therapeutic digital tool. If someone is in immediate danger, they should contact emergency services or crisis lines directly.

C.M. 20-7-26