Eligibility Criteria


  • 18+
  • Male or female
  • Treatment resistant affective disorders: unipolar or bipolar disorders, including mixed mania and rapid-cycling disorder
  • Affective disorders requiring specialist psychological interventions
  • Healthcare professionals with affective disorders
  • Depression with a seasonal pattern (seasonal affective disorder)
  • Support of a local consultant and Community Mental Health Team. This criterion is of key importance to permit joint working and crisis management


  • High risk of self-harm or other vulnerabilities that render out-patient attendance inadvisable
  • Lack of engagement with secondary services to co-ordinate on-going care

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