What is it?

An online programme that will help teach you techniques to reduce symptoms of  low mood, anxiety and stress…

SilverCloud provides private and secure access anywhere, anytime, to evidence-based, online programmes that will help teach you techniques to reduce symptoms of low mood, anxiety and stress. During this current pandemic we have a COVID-19 module which focuses on low mood and stress and also additional programmes available for people suffering from mental health issues related to Long Term Conditions. Based on cognitive behavioural therapy, mindfulness, and positive psychology, SilverCloud is very interactive and very flexible. It can be used on your phone or tablet device so that you always have access to it.

Space for Anxiety for Teenagers

Space from Anxiety for Teenagers is an online CBT therapy course specifically designed to help teenagers aged 15-18 to make positive changes and reduce symptoms of anxiety.

Core Modules

  • Understanding Anxiety – Understand how anxiety affects you and use CBT to manage your symptoms.
  • Noticing Feelings – Learn about emotions and what impacts them. Use physical sensations to tune in to your emotions.
  • Facing Your Fears – Break your fears down into small steps in order to face them, using a CBT technique called ‘graded exposure’.
  • Spotting Thoughts – Understand how your thoughts affect how you feel and become aware of any negative thinking patterns.
  • Challenging Thoughts – Learn how to generate more balanced thoughts and tackle negative thinking patterns.
  • Managing Worry – See the role that worry plays in anxiety and learn how to manage your worry.
  • Bringing It All Together – In this final module you can bring together all the skills you have learned, and the ideas you have gathered so far.

What is CBT?

CBT teaches people to recognise and tackle problems here and now ….

CBT is a psychological therapy that works on the relationships between thoughts (cognitions), behaviours, and feelings.  CBT teaches the individual how to recognise and tackle problems here and now, rather than in the past.  It has been widely studied and has been proven to work especially on depression and anxiety.

How to use SilverCloud?

40 minutes per week, over 8 weeks on SilverCloud

We recommended completing all the CORE modules within the programme and then any additional modules that you think can help. We recommend that you spend around 40 minutes per week over approximately 8 weeks. This could be done all at once or broken down to 10-15 minute periods, 3 or 4 times a week. As with most things it may take time and practice to make progress.

Why Use it?

SilverCloud shows improvement rates for stress, anxiety and depression…

SilverCloud programs have demonstrated a high improvement rates for stress, anxiety and depression. You set your own pace, it is not time consuming, and you don’t have to stick to rigid appointments.

How do I access SilverCloud?

Referral via school staff or NHS Fife clinician

Your school nurse or guidance teacher can refer you to the program. Alternatively, if you are seeing an NHS Fife clinician they can refer you, or you can request this via your GP. You will then receive an email from the cCBT Coordinator containing a link to activate your account.

Where can I complete the program?

SilverCloud can be completed at home or in the community…

The course can be completed in your home or in a community site such as a library. Using either a desktop computer, laptop, tablet or Smartphone.

Is the information I put in confidential?

Yes and all the data you submit is stored and encrypted…

Yes. You have a username and password so that no-one else can access the details you enter and all your data is stored in an encrypted database. Sometimes data that is routinely collected during the course of the treatment will be used in service improvement and evaluation. The information may be shared with other Health Boards or nationally with NHS 24. This information is always anonymised. This means all information which could be used to identify you is removed and your confidentiality is maintained.

What are Reviews?

Every couple of weeks during your course you will be asked to take part in a “Review”

Every 4 to 5 weeks during your online treatment you will be asked to take part in a “Review” on an agreed review date.  During a review you will be asked to complete questionnaires and share any comments that you have made over the course of completing the SilverCloud modules.  The cCBT service will then provide written feedback and additional advice that will appear on your Homepage and the Messages page.  The feedback and advice provided will not be clinical in nature. If you need clinical support at any stage throughout the online treatment please contact your referring clinician to discuss this.

Reporting suicidal thoughts

During a review you will be asked if you have had thoughts of harming yourself…

During a review you will be asked if you have had thoughts of harming yourself. If you answer that you have, your cCBT co-ordinator will inform the person that referred you to the programme.  If you are completing the course outside of standard working hours it is recommended you contact NHS 24 to discuss these feelings.  The cCBT coordinator will then inform your referrer in the morning of the next working day.

Frequently Asked Questions

CBT Delivered by Silver Cloud FAQ’s

What is Silver Cloud

Silver Cloud is an online treatment programme that uses cognitive behavioural therapy (CBT) to help people experiencing depression and/or anxiety.  It consists of a list of modules to be completed at your leisure.   The programme is interactive, during session you can watch video clips, complete exercises and learn CBT tec  hniques  that can help with depression and anxiety.   You will be given tasks to complete during the week and between modules.

How will it help me

Silver Cloud will help you to pinpoint and change unhelpful ways of thinking that can affect how you feel while teaching you more effective ways of solving problems.

How many modules do I need to complete

It is important to complete as many modules as possible.  When completing the first couple of modules it may be hard to see how it is relevant to your situation however the programme is designed to build up your knowledge and skills over the modules, if you stop too early you will not get the full benefits of the treatment.

Additional modules can be added if you want by messaging your supporter for help.

How do I access Silver Cloud

When you receive your activation email click on the “Get Started” button and choose a username and password. After this you can now login via the app or Internet browser on

Download the app via your app store by typing in “Silver Cloud” on android or “Silver Cloud Toolkit” on apple devices.

If you clicked on the “Get Started” button on your PC and it loads in Internet Explorer there can be issues, its best to use another browser. However, if you can select a username or password then just log into on another browser using your username and password like Chrome, Mozilla, Firefox or use the app to finish off the beginning module.

Is the information I put in confidential

Yes.  You have a username and password so that no-one else can access the details you enter and all your data is stored in an encrypted database.

What happens if I say yes to suicidal thoughts?

Some modules will ask you if you have had suicidal thoughts.   If you answer yes then your GP will be informed the next working day.  If you are completing the course outside of standard working hours, it is recommended you contact NHS 24.

What happens if I phone NHS 24

NHS 24 has highly trained staff available 24 hours a day.  When you call they will ask you a series of questions which will help them determine the best way to support and help you.  This may include transferring you a clinical nursing staff, the Samaritans or Breathing Space.

Where can I complete the course

The course can be completed in your home on any device including PC, Laptop, Mobile and Tablets or in a community site such as a library.

What role does the Review/Supporter have?

When the Computerized Cognitive Behavioural Therapy Team set you up for Silver Cloud they will set a review date. This is just to check in on any messages you have left, offer other additional modules or even give any other friendly advice as well as help with some IT issues where possible, although the app has IT help within it.

Interested in learning more about how SilverCloud works then take a look at our guide.

SilverCloud Guide

GP Corner

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