Online CBT for anxiety and depression in breast cancer

The short version

  • SilverCloud (by Amwell) has an online Depression and Anxiety Programme for Breast Cancer, based on cognitive behavioural therapy (CBT).1
  • It’s for people with breast cancer, and for their loved ones, and usually takes about eight weeks, at your own pace.1
  • Access depends on where you live. In some areas you need a referral from your GP or another health professional.1, 2

At a glance

WhatDetails
Provided bySilverCloud by Amwell, through NHS services
Who it’s forPeople diagnosed with breast cancer during diagnosis, treatment or recovery, and their loved ones
FormatOnline, on a phone, tablet or computer
Length7 modules, usually about 8 weeks
How to get itThrough your local NHS psychological or talking therapy service. Ask your GP or team

Information from NHS Scotland leaflets, checked November 2026.1, 2

What’s in the programme

The programme has seven modules:1

  1. Getting started: an introduction to CBT
  2. Understanding feelings
  3. Boosting behaviour: changing habits to lift your mood
  4. Spotting thoughts: noticing unhelpful thinking
  5. Challenging thoughts
  6. Managing worry
  7. Bringing it all together

How to get it

  • In Scotland, some health boards offer it through referral by your GP or another healthcare professional.1, 2
  • In England, many NHS Talking Therapies services use SilverCloud programmes, and you can refer yourself. Ask whether a breast cancer-specific programme is available.3
  • Ask your breast care nurse what psychological support is available locally.

Who it might suit

  • You’re feeling low or anxious and would like to learn practical skills.
  • You’d prefer to work in your own time, online.

Things to know

  • If your mood is very low, you’re struggling to cope, or you’re thinking about harming yourself, contact your GP, call NHS 111, or call Samaritans free on 116 123. In an emergency, call 999.

Other options

Related pages

References

  1. NHS Lanarkshire. SilverCloud Depression and Anxiety Programme for Breast Cancer (leaflet). www.lanarkshiremindmatters.scot.nhs.uk/wp-content/uploads/2025/10/BreastCancer.pdf
  2. NHS Dumfries and Galloway. Mental health in breast cancer (referral guidance). www.rightdecisions.scot.nhs.uk/dgrefhelp-nhs-dumfries-galloway/breast/mental-health-in-breast-cancer
  3. NHS. NHS talking therapies for anxiety and depression. www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/nhs-talking-therapies/