Participants/ patients  Inclusion Criteria:  Patients over 18 years old, with an MSK condition requiring a therapy outpatient appointment. Scoring ≥ 20 on the PHQ-ADS. Able to provide written informed consent and willing to participate Able and willing to complete questionnaires and study assessments  Exclusion Criteria:  Patients who are already receiving treatment for a psychiatric condition from a specialist mental health service. Scoring < 20 on the PHQ-ADS. Lacking capacity to consent Unable or unwilling to complete questionnaires and study assessments Participating in other trials  Participants/ staff  Clinical staff involved in the treatment of the participants allocated to the intervention group