Peter Lepping1, Markus Huber2, Roland W Freudenmann3. 1. Betsi Cadwaladr University Health Board, North Wales, Wrexham, UK; Centre for Mental Health and Society, Bangor University, Bangor, UK; Mysore Medical College and Research Institute, Mysore, India peter.lepping@wales.nhs.uk. 2. Department of Psychiatry, General Hospital Bruneck, South Tyrol, Italy. 3. Department of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany.