
Mood and anxiety disorders represent some of the most challenging mental health conditions, often requiring specialised expertise when they become complex or resistant to standard treatments. These cases are addressed through focused care in several key areas:
- Complex and treatment-resistant depression and bipolar disorders;
- Severe, treatment-resistant Obsessive-Compulsive Disorder (OCD);
- Post-traumatic stress disorders; and
- Mental health conditions related to the perinatal period*, pregnancy loss and challenges in conceiving
* The perinatal period refers to the period of time from becoming pregnant until one year after childbirth
We adopt a collaborative, multi-disciplinary, and team-based approach in offering relevant assessment and intervention services to address the diverse needs of our patients.
Common Presenting Issues
- Emotional Problems: Individuals often experience persistent sadness, irritability, or heightened feelings of hopelessness, excessive worry, fear, or panic attacks.
- Physical Health Issues: These can include chronic headaches, muscle tension, fatigue, sleep disturbances (insomnia or hypersomnia), and changes in appetite or weight.
- Cognitive Impairment: Difficulty in concentrating, decision-making, or remembering things.
- Social Withdrawal: Patients may isolate themselves from friends and family, leading to a decrease in social interactions and support.
- Co-occurring Disorders: Many individuals with mood and anxiety disorders may also experience other mental health issues, such as substance use disorders or personality disorders.
- Impact on Daily Functioning: These disorders can significantly affect a person's ability to perform at work, maintain relationships, and engage in daily activities.
Intervention Services
Our dedicated multi-disciplinary team of psychiatrists, nurses and allied health professionals work together to provide appropriate care to cater to differing needs.
Treatment methods include:
- Medication
- Electroconvulsive Therapy (ECT)
- Transcranial Magnetic Stimulation (TMS)
- Individual psychotherapy
- Family & Couple Therapy
- Cognitive Behavioural Therapy (including the exposure and response prevention component)
- Group Therapy
- Art Therapy
- Music Therapy
- Occupational Therapy
- Interpersonal and Social Rhythm Therapy (IPSRT)
Information for Professionals: Making Referrals/Referring Your Patients
We welcome referrals from external professionals for the conditions that we see, namely:
Complex and Treatment-Resistant Depression / Bipolar Disorders:
DMA provides a second opinion service for individuals with treatment-resistant depression/bipolar disorders, with a view to optimising biological treatment modalities.
Mental health conditions related to the perinatal period, pregnancy loss and challenges in conceiving
Women aged 18 – 45 years old who are struggling with mental health issues (i) during their pregnancy or within 1 year after childbirth, (ii) after a pregnancy loss or, (iii) while facing challenges in conceiving.
Severe, Treatment-Resistant Obsessive-Compulsive Disorder (OCD):
Individuals aged 18 – 75 years with clinically severe OCD and who have not responded to two trials of SSRI/Clomipramine or one trial/attempted trial of CBT/ERP. The individual must be motivated to participate in intensive treatment.
Professionals who wish to refer their patients for the above may reach out with their request to:
E-mail: imh.appt@nhghealth.com.sg
Tel: 6389-2200 (Mondays to Fridays, 8.00am – 6.00pm)

