The Dundee Advanced Interventions Service is a specialist service providing: intensive treatment for obsessive-compulsive disorder (OCD); specialist assessment and treatment for depression and OCD; and neurosurgical treatment for mental disorder.
We are a National Specialist Service, which means that we are one of over 80 national services in Scotland, receiving funding directly from the National Services Division (NSD) of NHS Scotland. Referral, assessment, and treatment are cost-free to NHS Boards in Scotland.
We have considerable experience in the fields of neuromodulation, and expert-led psychopharmacology, along with being the only multi-disciplinary neurosurgical service in the UK for psychiatric disorders.
We offer specialist treatment for OCD and depression. We also provide expert diagnostic assessments for related conditions, and can offer advice on treatment. Select an option to read more...
We offer a range of treatments for OCD, including:
We have longstanding expertise in assessing and treating mood disorders, including depression. We can provide:
We are able to assess complex and treatment-refractory bipolar disorder(s) and offer advice on treatment. For individuals with chronic and treatment-refractory bipolar depresison, we can provide guidance on the suitability of neurosurgical treatments.
The coronavirus pandemic has affected all NHS services. However, we continue to function and although we cannot do all the things we did before, we are committed to providing as full a service as possible to patients and referring clinicians.
A slightly more detailed description on how we have had to adapt services can be found on our COVID-19 page. Otherwise, please click on the relevant tab to find out more...
We have never closed to referrals and these will be reviewed, as usual, in our weekly team meetings. If you have any questions about a referral, or would like to discuss something, please get in touch.
Although we are not currently assessing people face-to-face, we are able to conduct the assessment via videoconference (Zoom, Skype, etc.). This means that people can be assessed in the comfort of their own homes and do not have to travel. We are flexibly adapting our assessment process which means that it can take place over multiple days and people should not expect a full-day assessment (as previously). We are confident that this allows a comprehensive review of the patient's condition so that treatment recommendations can be made.
We cannot provide therapist-guided exposure-and-response prevention at the current time due to the pandemic and we are not able to admit people to hospital for such treatment. For those individuals who would be receiving such treatment, we are shifting to delivery of treatment via videoconference. The team has experience in a range of treatments that can effectively be delivered online. When things return to something more closely resembling 'normal', if someone still needs intensive/ inpatient treatment, this will be offered.
It remains possible for people to travel to London for surgery. We are in close contact with neurosurgical colleagues in London who perform the surgery so that we can make sure that arrangements suit each person, whilst keeping risks as low as possible. At the current time, it is highly likely that people will be asked to self-isolate *before* travelling to London and they may need to self-isolate in London (depending on circumstances).
For people who would normally be reviewed in Dundee because they have previously had neurosurgical treatment or received intensive treatment, we will be getting in touch to discuss options for conducting the clinical part of the review via videoconference. We are minimising non-essential travel and hospital contact so we are postponing the neuropsychological assessment and/or MRI scans until it is safer to do these. However, we hope that the clinical reviews will allow us to discuss relevant treatment options with the individuals and their local teams.
Please browse our resources for information on how to treat OCD and depression. We also publish our annual reports covering activity and outcomes.
If you would like further information on referral, or are a clinician who wishes to make a referral, please click on the button to view our referral FAQ.
We try to provide updated information on treatment, and comment on issues that relate to OCD and depression.
The pandemic has had a dramatic effect on the whole of the NHS, but it has also affected the availability of services for OCD. Not only that, but the nature of the pandemic will have had effects on...Read More