Medically reviewed by The Online GP by The Wellness clinical team | Last updated: April 2026

At a glance

Private mental health treatment in London 2026 costs £59 to £550 per consultation depending on clinician type and consultation length. The Online GP by The Wellness offers telephone GP consultations from £59, video and in-person GP consultations £150, repeat prescriptions £40, and comprehensive mental health blood panel £445 where indicated. Same-day appointments routinely available. GMC-registered doctors. Multilingual care in English, Arabic, Spanish, French, and Dutch. Confidential care with prescription, fit notes, referral letters, and follow-up included. Specialist psychiatrist referral pathway available for complex cases.

According to NHS Mental Health Statistics 2026, approximately 1 in 4 UK adults experience a mental health condition in any given year, with anxiety and depression the most common presentations. Over 2 million people are estimated to be on NHS mental health treatment waiting lists. NHS Talking Therapies (formerly IAPT) services average 16 to 18 week waits for first appointments. Specialist NHS psychiatric assessment averages 6 to 12 months. Mental health conditions are now the leading cause of long-term sickness absence in the UK with associated economic cost estimated at £117 billion annually by Mental Health Foundation 2026 data.

This 2026 guide explains exactly what GP-led mental health care delivers, the specific medications used to treat anxiety and depression, how to choose between GP and psychiatrist care, what blood tests rule out physical causes, the psychiatrist referral pathway, and why The Wellness multilingual integrated approach offers something genuinely different from standard mental health pathways.

For mental health crisis support 24/7: Samaritans 116 123 | NHS 111 (option 2 for mental health) | A&E for emergencies

For scheduled mental health consultations: WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com | Call 020 3951 3429

Why does private mental health care matter in 2026?

The UK mental health landscape in 2026 is characterised by substantial unmet need alongside excellent NHS specialist services that cannot meet timely demand. Private mental health care complements rather than replaces NHS pathways, offering rapid access for patients whose situations cannot wait the typical NHS timeline.

The 2026 NHS mental health context:

According to NHS Mental Health Statistics 2026, NHS Talking Therapies (the rebranded IAPT service providing CBT and other psychological therapies) handles approximately 1.8 million referrals per year with average wait times of 16 to 18 weeks for first appointments and longer in many regions. Specialist community mental health team referrals for complex anxiety and depression typically wait 6 to 12 months for assessment. NHS psychiatric outpatient appointments for routine cases average 3 to 6 month waits.

The causes are well-documented: chronic underfunding of mental health relative to physical health (despite 2024 to 2026 modest funding increases), workforce shortages particularly of psychiatrists and clinical psychologists, rising demand driven by post-pandemic effects, cost-of-living pressures, workplace stress, and reduced stigma encouraging help-seeking.

Five reasons patients choose private mental health care:

1. Speed of access for treatable conditions. Anxiety and depression are highly treatable with appropriate medication, therapy, or combination treatment. Waiting 4 to 6 months while symptoms persist is not just uncomfortable; it can lead to deepening depression, relationship breakdown, job loss, social withdrawal, and increased suicide risk. Same-day GP-led assessment with same-day prescription where appropriate shortens the time to effective treatment from months to hours.

2. Privacy and discretion. Some patients prefer mental health information outside NHS records for various reasons including professional implications (some safety-critical occupations require disclosure of mental health conditions), insurance applications (life insurance, income protection), immigration applications (some visa requirements), or personal privacy preferences. Private mental health treatment maintains records separately from NHS systems unless the patient specifically requests sharing.

3. Comprehensive longer consultations. NHS GP appointments average 10 minutes. Mental health discussion benefits from longer consultations allowing detailed history, exploration of triggers, and consideration of treatment options. The Wellness 30-minute video consultations and in-person consultations provide time for thorough assessment.

4. Multilingual care for international and culturally diverse patients. Discussing mental health in a second language adds barriers, particularly given cultural variations in mental health terminology and stigma. Native-language consultation in English, Arabic, Spanish, French, and Dutch at The Wellness enables more comprehensive and accurate assessment.

5. Integrated care continuum. Mental health concerns often coexist with physical health issues, hormonal factors, sleep disorders, lifestyle factors, and life events. The Wellness integrated GP service addresses the whole picture rather than mental health in isolation, with same-clinic access to blood testing, hormone assessment, sleep evaluation, and other relevant investigations.

The cost of NOT seeking timely help is significant. The Mental Health Foundation 2026 estimates that untreated common mental health conditions cost the UK approximately £117 billion annually through productivity loss, healthcare costs, and welfare expenditure. Personally, untreated anxiety and depression cause substantial suffering, relationship and career disruption, and increased physical health risk including cardiovascular disease.

Investing £150 to £495 in initial private GP-led mental health assessment with same-day access can transform outcomes for patients facing months of NHS waiting.

What conditions can The Wellness GPs treat?

The Wellness GPs are experienced in managing the majority of common mental health presentations, with appropriate specialist psychiatrist referral for complex cases. Treatment is delivered to NICE clinical guideline standards with shared decision-making about therapy versus medication options.

Common mental health conditions managed by The Wellness GPs:

Generalised Anxiety Disorder (GAD) affects approximately 5 to 6 percent of UK adults and is characterised by persistent excessive worry lasting at least 6 months, with associated symptoms including restlessness, fatigue, poor concentration, irritability, muscle tension, and sleep disturbance. First-line treatment typically includes SSRIs (sertraline, escitalopram, paroxetine) or SNRIs (duloxetine, venlafaxine), often combined with CBT for which we provide referral pathways.

Panic Disorder affects approximately 2 to 3 percent of UK adults and is characterised by recurrent unexpected panic attacks with intense fear, breathlessness, palpitations, chest tightness, and fear of dying or losing control. First-line treatment includes SSRIs (often higher initial doses than for depression), CBT specifically targeting panic (highly effective with 70 to 80 percent improvement), and short-term benzodiazepines only in selected cases.

Major Depressive Disorder (MDD) affects approximately 5 to 8 percent of UK adults in any given year and is characterised by persistent low mood, anhedonia (loss of pleasure), fatigue, sleep disturbance, appetite changes, concentration difficulties, feelings of worthlessness, and where severe, suicidal thoughts. Severity is graded by PHQ-9 questionnaire: mild (5 to 9), moderate (10 to 14), moderately severe (15 to 19), severe (20+). First-line treatment for moderate depression typically includes SSRIs, CBT or interpersonal therapy, and lifestyle interventions.

Mixed anxiety and depressive disorder is extremely common, with overlapping features warranting integrated treatment.

Adjustment disorders following major life events (bereavement, relationship breakdown, job loss, illness, immigration) typically respond to brief intervention combining support, problem-solving, and time-limited therapy.

Burnout is increasingly recognised, characterised by emotional exhaustion, depersonalisation, and reduced personal accomplishment in occupational settings. While not a formal psychiatric diagnosis in DSM-5, burnout warrants assessment and intervention. Treatment combines work-related changes, stress management strategies, and where indicated antidepressant treatment for associated depression or anxiety.

Insomnia and sleep disorders affect approximately 30 percent of adults at some point. Chronic insomnia typically warrants assessment of underlying causes (mood disorders, anxiety, sleep apnoea, restless legs syndrome) and treatment combining sleep hygiene measures, cognitive behavioural therapy for insomnia (CBT-I) which is highly effective, and where indicated time-limited pharmacological intervention.

Stress-related illness including occupational stress, relationship-related distress, and life circumstances stress.

Premenstrual dysphoric disorder (PMDD) affecting approximately 3 to 8 percent of women, with severe mood symptoms in the luteal phase. Treatment includes SSRIs (taken continuously or in luteal phase only), hormonal management, and lifestyle measures.

Perimenopausal mood disorders including anxiety and depression linked to hormonal fluctuations. Treatment integrates HRT consideration (which we provide directly), antidepressant treatment where indicated, and lifestyle measures. The Wellness menopause clinic integrates seamlessly with mental health care.

Postnatal depression affects approximately 10 to 15 percent of new mothers. Time-sensitive treatment with safety-considered medication options for breastfeeding is essential. Specialist perinatal mental health pathways are available for complex cases.

Health anxiety (formerly hypochondriasis) responds well to CBT and where indicated SSRIs. The Wellness can support both diagnosis and management with appropriate medical reassurance pathways.

OCD (obsessive compulsive disorder) affects approximately 1 to 2 percent of UK adults. First-line treatment includes SSRIs at higher doses than for depression and CBT with exposure response prevention. Severe or treatment-resistant OCD warrants specialist psychiatry referral.

Phobias and social anxiety disorder respond well to CBT and where indicated SSRIs or propranolol (for performance anxiety).

Conditions warranting specialist psychiatric referral:

The Wellness arranges prompt psychiatric referral for:

• Severe depression with significant functional impairment or suicidal thoughts

• Treatment-resistant cases failing first-line and second-line medication trials

• Bipolar disorder suspected or diagnosed (requires specialist medication management)

• Psychotic features (auditory hallucinations, delusions, severe paranoia)

• Eating disorders (specialist eating disorder services)

• Personality disorders with complex management needs

• Severe OCD not responding to first-line treatment

• PTSD complex cases (we manage uncomplicated PTSD)

• Complex comorbidity with multiple psychiatric conditions

• ADHD assessment (separate dedicated service - see Wellness ADHD assessment guide)

• Autism spectrum assessment in adults

• Forensic or legal mental health needs

• Specific medication choices requiring specialist initiation (lithium, MAOIs, certain antipsychotics)

Speak to a doctor today: WhatsApp +44 7961 280835

What does the GP-led mental health consultation involve?

The GP-led mental health consultation at The Wellness follows NICE-recommended structured assessment while remaining patient-centred and non-judgemental. The consultation length and depth distinguish private GP care from typical NHS 10-minute appointments.

Step 1: Initial enquiry (free). WhatsApp, email, or call with your concern. Our team responds typically within 1 to 2 hours during clinic hours and confirms appointment options. Same-day video or in-person typically available.

Step 2: Pre-consultation preparation. Patients are asked to consider:

• Main concern in your own words: what's bothering you most

• Symptom timeline: when symptoms started, what triggers

• Current life context: work, relationships, recent events

• Previous mental health history: prior episodes, treatments tried, what worked

• Medical history and current medications

• Family history: mental health conditions in close relatives

• Specific outcomes desired: assessment, medication, therapy, fit note, referral

Standardised symptom questionnaires may be sent before the appointment:

• PHQ-9 (Patient Health Questionnaire-9) for depression severity

• GAD-7 (Generalised Anxiety Disorder-7) for anxiety severity

• Other condition-specific tools as relevant

These provide objective severity measures and tracking over time.

Step 3: The consultation (typically 30 minutes for video or in-person, 15 to 20 minutes for telephone follow-ups). The doctor takes a structured but conversational history covering:

Presenting symptoms:

• Specific symptoms experienced

• Severity, frequency, duration

• Triggers and patterns

• Impact on functioning (work, relationships, daily activities)

• Specific concerns and worst fears

Mental state assessment:

• Current mood and affect

• Anxiety symptoms and panic

• Sleep quality and duration

• Appetite and weight changes

• Energy and motivation

• Concentration and memory

• Suicidal thoughts and self-harm (asked sensitively as standard assessment)

• Use of substances including alcohol

Background:

• Previous mental health episodes and treatments

• Family history of mental health conditions

• Current life circumstances and stressors

• Relationships and social support

• Work situation

• Physical health and medications

• Current and past therapy experience

Specific risk assessment when relevant including suicide risk assessment following NICE guidelines.

Step 4: Examination and investigations where indicated:

• Physical examination for medication-relevant issues (BP, weight, heart rate)

• Blood tests to rule out physical causes (see below)

• Standardised questionnaires for objective severity assessment

Step 5: Diagnosis and discussion including:

• Provisional diagnosis based on history and assessment

• Severity rating using validated tools

• Treatment options discussion: medication, therapy, combination, lifestyle, watchful waiting

• Specific medication options if appropriate, including expected benefits, side effects, and timeframes

• Therapy options including private CBT and counselling pathways

• Lifestyle factors: sleep, exercise, alcohol, stress management

• Patient preferences and concerns explored thoroughly

• Shared decision about treatment approach

Step 6: Treatment plan and outputs:

• Prescription where agreed, sent electronically same-day

• Detailed information about chosen medication including expected effects, side effects, and what to do if difficulties arise

• Therapy referral to private CBT or counselling at competitive rates

• Fit note for short-term work absence where appropriate

• Comprehensive consultation summary sent via secure email

• Specific safety information including crisis support contacts

• Follow-up plan typically 2 to 4 weeks initially, then 4 to 8 weeks

Step 7: Follow-up monitoring. Regular monitoring is essential particularly during initial treatment:

• 2-week telephone follow-up (£59) to assess medication tolerance, early benefits, and side effects

• 4 to 6-week comprehensive follow-up (£59 telephone or £150 in-person) for treatment response assessment

• Ongoing monitoring at appropriate intervals

• PHQ-9 and GAD-7 tracking to objectively monitor improvement

• Repeat prescription at £40 once stable

• WhatsApp clinical support between appointments for quick questions

Specialist psychiatrist referral pathway when indicated:

• Initial psychiatrist consultation £250 to £550 at partner consultant network

• Typically seen within 1 to 2 weeks

• Continued GP support in parallel where appropriate

• Shared care arrangements between specialist and GP

Which medications are used to treat anxiety and depression?

Modern antidepressant treatment uses a range of medication classes with different mechanisms, side effects, and clinical applications. NICE Clinical Guideline NG222 (Depression in adults: treatment and management) provides the framework, with first-line, second-line, and third-line options.

SSRIs (Selective Serotonin Reuptake Inhibitors):

First-line for most anxiety and depression in NICE guidance. Mechanism: increase serotonin availability in the brain. Onset of benefit: 2 to 4 weeks initially, full effect at 6 to 8 weeks.

Common SSRIs and typical dosing:

MedicationStarting doseTypical effective doseNotesSertraline50mg50 to 200mgOften first-choice for depression and anxietyCitalopram10 to 20mg20 to 40mgQT prolongation considerationEscitalopram5 to 10mg10 to 20mgRefined version of citalopramFluoxetine20mg20 to 60mgLong half-life, less withdrawalParoxetine10 to 20mg20 to 50mgMore withdrawal symptoms

Common side effects (typically transient): nausea, headache, sleep disturbance (sometimes improved), sexual dysfunction (often persistent), reduced appetite or weight gain, sweating. Most side effects improve over the first 2 to 4 weeks.

Important warnings: SSRIs may cause temporary increase in anxiety or suicidal thoughts in the first 1 to 2 weeks particularly in young adults; regular monitoring during initiation is essential. Withdrawal symptoms can occur when stopping, particularly with paroxetine and venlafaxine; gradual tapering under medical supervision is recommended.

SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors):

Second-line or first-line for specific presentations including pain comorbidity. Mechanism: increase both serotonin and norepinephrine.

Common SNRIs and typical dosing:

MedicationStarting doseTypical effective doseNotesVenlafaxine37.5 to 75mg75 to 225mgEffective but withdrawal-proneDuloxetine30mg60 to 120mgUseful with chronic painMirtazapine15mg (atypical)15 to 45mgSedating, weight gain, useful when sleep poor

Atypical antidepressants:

Mirtazapine: not strictly SNRI but often grouped. Sedating at lower doses (helpful for insomnia and weight loss in depression). Less sexual dysfunction than SSRIs.

Bupropion: noradrenaline-dopamine reuptake inhibitor, less sexual dysfunction, less weight gain, but can increase anxiety and seizure risk in susceptible patients.

Trazodone: mainly used at low doses for sleep in depression.

Tricyclic antidepressants (TCAs):

Older class including amitriptyline, nortriptyline, lofepramine, imipramine. Highly effective for depression but more side effects than SSRIs (sedation, weight gain, anticholinergic effects, cardiac effects). Now used selectively for specific presentations including IBS-related depression at low doses, refractory cases, neuropathic pain comorbidity, and where SSRIs and SNRIs have failed.

MAOIs (Monoamine Oxidase Inhibitors):

Specialist-only initiation. Used for treatment-resistant cases. Significant dietary restrictions required to prevent hypertensive crisis. Not initiated by GPs.

Anti-anxiety medications:

Beta-blockers (propranolol): Reduce physical anxiety symptoms (palpitations, tremor) without affecting cognition. Useful for performance anxiety, public speaking, panic attacks. Typical dose 10 to 40mg as needed.

Benzodiazepines (diazepam, lorazepam, alprazolam): Highly effective for acute anxiety but dependence risk with regular use. Short-term use only (2 to 4 weeks maximum) per NICE guidance, typically for severe acute anxiety, panic crises, or specific situations.

Pregabalin/Gabapentin: Used for generalised anxiety disorder, particularly when SSRIs have not helped. Generally well-tolerated but dependence concerns for some patients.

Buspirone: Non-sedating anti-anxiety medication for generalised anxiety. Slow onset (2 to 4 weeks). Limited use in UK.

Sleep medications

Z-drugs (zopiclone, zolpidem) and benzodiazepines for short-term insomnia (2 to 4 weeks maximum). Melatonin for circadian rhythm disorders. Sedating antidepressants (mirtazapine, trazodone) for insomnia with depression.

Therapy alongside medication:

Combination treatment (medication plus therapy) is more effective than either alone for moderate to severe depression and anxiety per substantial evidence. The Wellness provides psychiatrist referral pathways and CBT therapist referrals at competitive private rates, typically £80 to £200 per session.

The Wellness approach to medication:

• Personalised choice based on symptom pattern, comorbidities, prior response, and patient preferences

• Clear information about expected benefits, timeframes, and side effects before starting

• Regular monitoring during initiation, dose adjustment, and ongoing treatment

• Side effect management including dose adjustment, timing changes, or switching when needed

• Adherence support through clear communication and regular reviews

• Combination treatment discussion including therapy options

• Long-term planning including continuation duration, withdrawal planning when appropriate

• Specialist referral when needed for complex medication choices

Considering medication or want a thoughtful second opinion? Speak to a GMC-registered GP today: WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com

How does The Wellness compare with other London mental health options?

The London mental health landscape in 2026 includes NHS pathways, private specialist psychiatry clinics, online psychiatry providers, and integrated private GP services. Each has distinct strengths.

London mental health provider comparison (verified April 2026):

ProviderInitial consultationFollow-upMultilingualSame-day accessSettingThe Wellness, Marylebone£59 phone / £150 video / £150 in-person£59 to £150EN, AR, ES, FR, NLYesIntegrated private GPLondon Psychiatry Clinic (Wimpole St)£350 to £550£200 to £350EnglishLimitedSpecialist psychiatryBlue Tree Clinic£400 to £550£200 to £350English1 to 2 weeksSpecialist psychiatryPsychiatry UK£350 to £600£200 to £400LimitedDays to weeksOnline psychiatry networkHappy ClinicFrom £45 (online)From £45LimitedYesOnline psychiatryThe Psychiatric Care Clinic£400 to £550£200 to £350Limited1 to 2 weeksSpecialist psychiatryPrivate Therapy Clinic£80 to £200 (therapy)£80 to £200Limited1 to 4 weeksTherapy onlyBetterHelp / Online therapy£200 to £400/month subscriptionIncludedLimitedDaysOnline therapyNHS Talking TherapiesFreeFreeLimited16 to 18 week waitNHS therapyNHS GPFreeFreeLimited1 to 3 week waitNHS primary careNHS Specialist PsychiatryFreeFreeLimited6 to 12 month waitNHS secondary care

Why The Wellness is positioned the way it is:

Versus NHS pathways: NHS provides excellent care eventually but with prohibitive waits for non-emergency mental health support. NHS GP appointments are brief (10 minutes) which limits depth of mental health discussion. NHS Talking Therapies is excellent when accessed but has substantial waits. Private GP-led care bridges the gap while NHS pathways progress.

Versus specialist private psychiatry clinics (London Psychiatry Clinic, Blue Tree, Psychiatric Care): These provide expert consultant-led care with substantial expertise. Initial costs of £350 to £550 are significant. Follow-up costs of £200 to £350 add up over time. Appropriate for: complex cases, severe symptoms, treatment-resistant cases, second opinions, specific specialist medication decisions. Not necessary for: most uncomplicated anxiety and depression where GP-led care is fully effective and substantially cheaper.

Versus online psychiatry networks (Psychiatry UK, Happy Clinic): Provide competitive pricing for psychiatric assessment and ongoing care. Lack the integration with broader medical care and in-person backup that The Wellness offers. Useful for patients specifically wanting psychiatrist-only care without GP integration.

Versus therapy-only providers: Therapy without medication management is incomplete for moderate to severe depression and anxiety where combination treatment is more effective. The Wellness provides integrated medication and therapy referral for combined approach.

The Wellness unique combination:

• Affordable initial access (£59 phone, £150 in-person/video)

• Same-day appointments consistently

• 30-minute consultations allowing thorough assessment

• All outputs included (prescriptions, fit notes, referrals) without upcharges

• Multilingual care in 5 languages

• Integrated medical care addressing physical and mental health

• Specialist psychiatrist referral pathway when complex

• CBT therapy referral at competitive private rates

• No registration required

• Confidentiality protections for sensitive mental health information

• Same doctor continuity by request

This combination makes The Wellness particularly suitable for first-time presentations of anxiety or depression, NHS-frustrated patients wanting faster access, international patients wanting multilingual care, busy professionals wanting efficient consultations, and patients valuing integrated care rather than fragmented mental health-only services.

Ready to take the first step? Same-day appointments often available: WhatsApp +44 7961 280835 | Email team@thewellnesslondon.com | Call 020 3951 3429

Frequently asked questions

How do I know if I need professional help?

Common indicators that warrant professional assessment include: persistent low mood, anxiety, or worry lasting more than 2 weeks that interferes with daily functioning; significant changes in sleep, appetite, or energy; difficulty enjoying activities you usually enjoy; concentration difficulties affecting work or relationships; persistent fatigue; recurrent panic attacks; thoughts of self-harm or suicide (always warrant urgent assessment); use of alcohol or substances to cope; and impact on relationships, work, or self-care.

Will my employer find out?

No, unless you choose to disclose. Mental health consultations and prescriptions are subject to strict medical confidentiality. Fit notes for work absence document fitness to work but do not require diagnostic detail. Insurance applications ask about declared conditions; private treatment without NHS records may be relevant to disclosure obligations depending on policy specifics. Specific occupations with safety-critical disclosure requirements (aviation, military, certain medical roles) have their own requirements that we discuss with affected patients.

Can I get a fit note for mental health?

Yes. GMC-registered doctors can issue fit notes for mental health conditions, accepted by employers under standard sick pay regulations. The Wellness includes fit notes in consultation fees with same-day issue. Mental health fit notes typically use neutral language ("stress-related illness") unless you prefer specific diagnostic detail.

What if I'm reluctant to take medication?

Medication is not always the right choice. For mild symptoms, lifestyle interventions, therapy, and watchful waiting may be appropriate. For moderate symptoms, therapy alone may be sufficient. Medication is one option, often combined with therapy, particularly helpful when symptoms are severe, persistent despite therapy, or when therapy alone is impractical due to time or access constraints. Shared decision-making is central to our approach.

How long should I take antidepressants?

NICE guidance recommends continuing successful antidepressant treatment for at least 6 months after symptom remission to reduce relapse risk. For first depressive episode with full recovery, 6 to 12 months total treatment is typical. For recurrent depression (2+ episodes), 2 years continuation reduces recurrence; some patients benefit from long-term maintenance. Withdrawal planning should be gradual and supervised, typically over weeks to months.

What if antidepressants don't work?

Approximately 30 to 50 percent of patients respond to first-line antidepressant choice; more achieve remission with adjustment. If first-line isn't working: dose optimisation, switching to alternative class, combination therapy, adding therapy, or specialist psychiatrist referral for complex management. Treatment resistance is not failure: it indicates need for different approach.

Are mental health blood tests important?

Useful particularly for new presentations. Blood tests rule out physical causes masquerading as mental health conditions: hypothyroidism (causes depression-like symptoms in 1 in 50 women), anaemia (fatigue and low mood), vitamin B12 deficiency (mood changes and cognitive issues), vitamin D deficiency (depression link), diabetes (mood effects), and others. The Wellness mental health blood panel at £445 provides comprehensive assessment.

Can I have therapy without medication?

Absolutely. Many patients with mild to moderate anxiety or depression respond well to therapy alone, particularly CBT which has strong evidence. The Wellness provides referral pathways to private CBT therapists at typically £80 to £200 per session. Many therapists offer online sessions for convenience.

Crisis support and safety

If you are experiencing a mental health crisis, thoughts of suicide or self-harm, or feel unable to keep yourself safe, please use these dedicated crisis services:

Samaritans 116 123 (free, 24 hours, 7 days a week, confidential listening)

NHS 111 selecting option 2 for urgent mental health support (24 hours, 7 days a week, signposting to local crisis services)

Your local NHS Crisis Resolution and Home Treatment Team (CRHTT) accessible via NHS 111 or your GP, providing intensive home-based support

A&E for suicidal crisis or risk to self requiring urgent in-person psychiatric assessment

Mind Infoline 0300 123 3393 (information and signposting, Mon-Fri 9am-6pm)

SHOUT crisis text service: text SHOUT to 85258 (free, 24/7, anonymous)

The Wellness provides scheduled mental health consultations during clinic hours. We do not provide emergency crisis services. If you are experiencing thoughts of harming yourself or others, please use the dedicated emergency pathways above immediately.

Book your mental health consultation today

Mental health conditions are highly treatable when accessed through appropriate care. The Online GP by The Wellness offers same-day GP-led mental health consultations at our Marylebone clinic, with GMC-registered doctors, multilingual care, comprehensive assessment, same-day prescription where appropriate, specialist psychiatrist referral pathway, CBT therapy referrals, and complete confidentiality for sensitive mental health information.

Three ways to book today:

WhatsApp: Message +44 7961 280835 for a same-day reply.

Email: team@thewellnesslondon.com for detailed enquiries with privacy.

Phone: 020 3951 3429 to speak directly to our team.

The Wellness, 10 Portman Square, Marylebone, London W1H 6AZ. GMC-registered doctors. Same-day appointments. Mental health consultations from £59. Multilingual care in English, Arabic, Spanish, French, and Dutch. Confidential.

Related guides at The Wellness

• ADHD Assessment London 2026

• Best Private GP London 2026

• Same-Day Private GP London 2026

• Online GP UK 2026

References and further reading

NICE Clinical Guideline NG222 (Depression in adults: treatment and management)

NICE Clinical Guideline CG113 (Generalised anxiety disorder and panic disorder)

NICE Clinical Guideline NG134 (Depression in children and young people)

Royal College of Psychiatrists 2026 position statements on mental health access

British Association for Psychopharmacology (BAP) guidelines on antidepressant prescribing

Mental Health Foundation 2026 statistics on UK mental health

NHS Mental Health Statistics 2026 on access and waiting times

Royal College of General Practitioners guidance on mental health in primary care

Mind UK information on conditions and treatments

Samaritans annual data on crisis support

Maudsley Prescribing Guidelines for psychiatric medication

Cochrane systematic reviews on antidepressant efficacy

Disclaimer: This article is for educational purposes only and does not constitute medical advice. Mental health conditions require individualised assessment with consideration of personal history, severity, comorbidity, and patient preferences. The Wellness is a private healthcare clinic with GMC-registered doctors providing primary mental health care with specialist psychiatrist referral pathways. For mental health crisis or suicidal thoughts, use dedicated emergency services: Samaritans 116 123 (24/7), NHS 111 option 2, or attend A&E. This article discusses sensitive topics; if you find yourself struggling whilst reading and need to talk to someone, the Samaritans listen on 116 123 free of charge any time of day or night.