Appointments Within Days
Rather than the months typical of NHS routine referral.
Seen usually within days rather than months. Assessment first, then a plan that may include talking therapy, medication, or both. We are honest about which is likely to help you, and about when neither is the right starting point.
This is a booked appointment service and it is not a crisis service. If you are thinking about harming yourself or ending your life, please get help now rather than waiting for an appointment:
None of these will judge you, and all of them would rather hear from you early than late.
For anyone not in immediate crisis: depression and anxiety are among the most treatable conditions in medicine, and the main obstacle for most people is access. Waiting months for an assessment when you already know something is wrong makes it worse.
A private appointment gets you in front of a consultant psychiatrist within days, with enough time to explain properly. You get an assessment of what is actually happening, which matters because low mood and anxiety have many causes, some of them physical and some of them treatable in ways you would not expect. You get an honest explanation, a treatment plan, and follow up to check it is working and change it if not.
Assessment by a consultant psychiatrist rather than a screening tool.
Appointments within days, no referral and no waiting list.
Time to explain properly, with no strict appointment limit.
Physical causes actively considered, including thyroid function and vitamin levels.
Medication prescribed and, importantly, reviewed, rather than issued and forgotten.
Honest signposting to talking therapy where that is the better route.
Structured follow up built into the plan.
In person at ten clinics or by video nationwide.
Findings shared with your NHS GP on request, with your consent.

Rather than the months typical of NHS routine referral.
Many people find a first conversation about mental health easier by video, from home.
Flexible evening and weekend appointments make it easier to access support around work, family and other commitments.
Step 1.
Self-refer, in person or by video, within days.
Step 2.
Your symptoms, how long they have gone on, your history, your physical health, medication, alcohol and sleep, and the practical effect on your life.
Step 2.
An honest account of what the clinician thinks is happening, and the options: medication, therapy, practical changes, or a combination.
Step 3.
A review appointment to check whether the plan is working, and change it if not.

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A psychiatric assessment for depression or anxiety covers your current symptoms and their duration, your personal and family history, your physical health and medication, alcohol and substance use, sleep, and the practical effect on work, relationships and daily functioning. It also considers risk, which is asked about directly because it is the most important thing in the room.
Physical causes are part of the assessment and are frequently missed. An underactive thyroid, iron deficiency, vitamin D or B12 deficiency, sleep apnoea, chronic pain, perimenopause, and the side effects of medication you are already taking can all produce symptoms indistinguishable from depression or anxiety. Blood tests are worth doing, and they are available here.
On treatment, honestly. For mild to moderate depression and anxiety, psychological therapy is at least as effective as medication and its benefits last longer after it stops. NICE recommends therapy as a first line option, and for milder presentations often ahead of medication. That is worth saying on a page that could simply sell prescriptions.
Where medication is appropriate, antidepressants, principally SSRIs and SNRIs, are effective for moderate to severe depression and for most anxiety disorders. Realistic expectations matter: they take two to six weeks to work properly, side effects are commonest in the first fortnight and usually settle, the first one tried does not always suit, and stopping needs to be tapered rather than abrupt. They are not addictive in the sense that benzodiazepines are, but stopping suddenly causes discontinuation symptoms, so they need managing rather than just starting.
On benzodiazepines and sleeping tablets. These are controlled drugs, they are not recommended for routine treatment of anxiety or insomnia beyond very short term use, and dependence develops quickly.
| PRIVATE VS | NHS DEPRESSION TREATMENT | |
|---|---|---|
| Waiting time for assessment | Days | Weeks to months for routine referral |
| Referral | Self refer | GP referral, or self refer to NHS talking therapies |
| Assessed by | Consultant psychiatrist | GP first, then specialist services if needed |
| Appointment length | No strict limit | Typically limited |
| Talking therapy | Ask at your appointment | Free, and self referral available in England |
| Medication | Prescribed privately, £25 plus cost | NHS prescription |
| Crisis care | Not provided | Crisis teams, 111, A and E |
| Continuity | Same clinician on request | Varies |
| Cost | Ask at your appointment | Free |
Said plainly, and it sends business away. NHS talking therapies in England can be self referred to directly, without a GP, and they are free. For mild to moderate depression and anxiety that is often the right first step, and waits for it are usually much shorter than for psychiatry. Private psychiatric assessment earns its fee where the picture is complex, where previous treatment has failed, where a diagnosis is uncertain, or where you cannot wait.
Within days, in person or by video.
A GP is a reasonable and cheaper first step for mild to moderate difficulties. A psychiatrist is warranted where the picture is complex, treatment has not worked, or the diagnosis is unclear. We will tell you which you need.
Only if it is appropriate and you agree. For milder presentations, therapy is at least as effective and its benefits last longer.
Not in the way benzodiazepines are, but stopping abruptly causes discontinuation symptoms, so they should be tapered with advice.
This is not a crisis service. Call 999 or go to A and E, call NHS 111, or call Samaritans free on 116 123.
No.
Possibly. Thyroid problems, iron and vitamin deficiencies, sleep apnoea, perimenopause and medication side effects all mimic depression and anxiety. Blood tests are worth doing.
Two to six weeks for full effect. Side effects are commonest in the first fortnight and usually settle.
Yes. Nothing is shared without your consent, other than in the rare circumstances where a clinician has a legal duty to act on a risk of serious harm.
Not from us. Nothing is shared without your consent.
Book an appointment within days, in person or by video. No referral needed, and no judgement.