Having a phone call appointment each week with my therapist was the most helpful thing about using the Silver cloud service. I was already familiar with much of the info and techniques I found in Silver cloud , but I needed personal contact- feeling someone was actually interested in me, gaining feedback from someone who really listened and questioned me , and who also gave me positive encouragement. Knowing i had that routine to look forward to each week was invaluable. I am very grateful to my therapist, ****. My mood and ability to recognise and deal with negative triggers have improved a great deal whilst using this service . I will try to stay aware and keep on using what I learnt , and continue to use Silver Cloud but I doubt if i will find so much benefit alone, as, due to ADHD tendencies , I find it hard to self impose routines effectively. Thankyou very much for the services I have received, I am grateful and will recommend it to others.