⸺ Honest guidance · No pressure

Is this right for you?

We would rather help you work out whether we are the right fit before you book — and direct you elsewhere if we are not. This page is designed to give you an honest sense of who we help most, and when another kind of support might serve you better.

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Not everyone who finds us will be the right fit. We think that is worth saying openly.

We are a small, specialist outpatient clinic. We are not the right service for everyone — and being clear about that from the outset is, we believe, part of good clinical care.

Recognise yourself here?

Read through these scenarios and see which resonates most with where you are right now.

This is likely a good fit

You've been on medication for years and want a proper review

You were started on psychiatric medication during a difficult period — perhaps years ago — and have never had a thorough reassessment of whether you still need it.

You are exactly who we were set up to help. An initial assessment will review your full history and give you a clear clinical picture.

This is likely a good fit

You want a second opinion on your diagnosis or treatment

You have been given a diagnosis or treatment plan that doesn't quite feel right, and you want a fresh, independent perspective from a consultant who will take their time.

This is one of our most frequently requested services. You do not need to be planning to change anything — many people simply want clarity before making further decisions.

This is likely a good fit

You want to reduce or stop medication but don't know how

You feel ready to explore coming off psychiatric medication but your GP or current psychiatrist has not been able to support you with a structured, safe plan.

Structured deprescribing is our flagship service. We build a bespoke taper plan with full consultant oversight — at a pace that prioritises your stability throughout.

This is likely a good fit

You're experiencing side effects that haven't been taken seriously

Emotional blunting, sexual dysfunction, weight changes, or cognitive fog — you've raised these concerns but been told to carry on or simply offered a higher dose.

Side effects deserve a proper clinical conversation. We will assess what is causing what, and give you an honest account of your options — including alternatives to your current medication.

This may not be the right fit

You are currently in acute crisis and need urgent support

If you are experiencing a psychiatric emergency, are at risk of harm to yourself or others, or need immediate clinical intervention — we are not the right service for you right now.

Please contact your GP, call NHS 111, or in an emergency call 999. We are a planned care service — we work best with people who are broadly stable and able to engage reflectively.

This may not be the right fit

You want rapid medication changes without a full assessment

If you are looking to stop medication immediately, without a structured plan, or without engaging in a thorough clinical review first — we would not be able to support that safely.

Every medication decision we make is preceded by a full psychiatric assessment. We don't make changes quickly — we make them carefully. That is what keeps people safe.

This approach tends to suit people who…

It tends to be less suited to those who…

Value understanding over quick fixes and are willing to engage with the complexity of their own mental health history
Are open to the possibility that factors beyond medication — life circumstances, relationships, meaning — are relevant to their mental health
Want to take an active role in their care, rather than deferring entirely to clinical authority
Are not in acute crisis and are stable enough to engage in an outpatient consultation process
Can commit to regular follow-up appointments during any medication reduction process

Are looking for a psychiatrist who will simply endorse decisions already made, without independent clinical assessment
Want purely protocol-driven, symptom-management-focused care without any reflective element
Require inpatient or crisis-level care at this time
Are not willing or able to attend regular follow-up appointments during a deprescribing process
If you are unsure, the most straightforward thing to do is book an initial consultation. We will give you an honest assessment of whether we can help — and if we cannot, we will do our best to point you in a better direction.

This approach tends to suit people who…

Value understanding over quick fixes and are willing to engage with the complexity of their own mental health history
Are open to the possibility that factors beyond medication — life circumstances, relationships, meaning — are relevant to their mental health
Want to take an active role in their care, rather than deferring entirely to clinical authority
Are not in acute crisis and are stable enough to engage in an outpatient consultation process
Can commit to regular follow-up appointments during any medication reduction process

It tends to be less suited to those who…

Are looking for a psychiatrist who will simply endorse decisions already made, without independent clinical assessment
Want purely protocol-driven, symptom-management-focused care without any reflective element
Require inpatient or crisis-level care at this time
Are not willing or able to attend regular follow-up appointments during a deprescribing process
If you are unsure, the most straightforward thing to do is book an initial consultation. We will give you an honest assessment of whether we can help — and if we cannot, we will do our best to point you in a better direction.

Still unsure? Let’s talk.

If you are not sure whether this is right for you, book an initial consultation. We will be honest with you — and there is no obligation to proceed further.