with a doctor
Psychiatry & Medication
A psychiatrist is a medical doctor who can assess whether medication would help, prescribe it, and review how it is working. Seeing one is not a verdict on how bad things are, and it does not replace therapy — for many people the two run alongside each other, with medication making the days workable enough to do the rest.
30 minutes · price on request
Not bookable at the moment. Nobody on our panel is currently qualified for this, and we would rather say that than put you in front of the wrong person. Write to us and we'll tell you honestly whether we can help, or point you somewhere that can.
what you get
- A registered psychiatrist, not a general physician
- An honest read on whether medication is needed at all
- Prescriptions, dose reviews, and help coming off when it is time
- Coordinated with your therapist, if you have one with us
who it can help
You do not need a diagnosis to start.
- Persistent low mood, anxiety or panic that has not shifted with therapy alone
- Sleep that has broken down, or appetite and energy that have changed markedly
- Anyone already on medication who wants a careful second opinion or a dose review
what happens
How your sessions will work.
Assessment
A detailed history: what you are experiencing, for how long, what you have already tried, and what else is going on medically. Nothing is prescribed in the first ten minutes.
A recommendation, with reasons
The psychiatrist tells you whether medication would help, what it would and would not do, and the side effects you might get. They also explain what happens if you would rather not take it. Saying no is a real option.
Review
If you start something, follow-ups check how it is working and adjust. Coming off, when the time comes, is planned rather than abrupt.
your therapy pathway
What the journey looks like.
A first assessment, then shorter reviews every few weeks while medication is being adjusted. This is the usual shape, not a contract. Your practitioner adjusts the pace to you, and you can pause or stop whenever you want.
First consultation
A full assessment
A detailed history: what you are experiencing, for how long, what you have tried and your physical health. Nothing is prescribed in the first ten minutes.
Same session
A recommendation, with reasons
Whether medication would help, what it would and would not do, possible side effects, and what happens if you would rather not take it. Saying no is a real option.
Every few weeks
Review and adjust
Follow-ups check how it is working and adjust the dose. With your consent, your psychiatrist and therapist coordinate.
When it's time
Coming off, planned
Stopping is planned together and done gradually, never abruptly.
Read more: Low mood & depression · Anxiety & worry · Sleep
common questions
Before you begin
No. Plenty of consultations end with a recommendation for therapy, sleep work, or simply a review in a few weeks. Medication is prescribed when it is likely to help, not by default.