Mrs Amy Wood is a recently widowed, 79 year old woman. She is a retired seamstress, although until recently she continued to sew clothing for her grandchildren and do alterations for friends and family. Mrs Wood has previously been a positive and socially active woman, but over the last few months has become very withdrawn. Her children are concerned at her lack of interest in usual activities, social isolation and reduced level of personal care. Her mood is often low and she is frequently tearful.