- Neuropsychiatric Current Hamilton Rating Scale for Depression (HRSD24) > 15. Current or lifetime history of a psychiatric disorder with primary psychotic features. Current or lifetime bipolar disorder; prominent suicidal or homicidal ideation. Current exposure to trauma, or exposure to trauma in the past 3 months. Current or within the past 30 days: drug abuse or dependence (except nicotine). Current or expected cognitive behavior therapy for another condition (e.g. depression). More than one glass of wine or beer with dinner scheduled at least 3 to 4 hours before bedtime. Presence of any acute or unstable psychiatric condition(s) that requires referral for treatment. Folstein Mini-Mental State Exam (MMSE) < 24.