Anxiety and depression are among the most common mental health problems in the UK. Many people get better with support from their GP, self-help or talking therapies. Sometimes, though, things do not improve, or keep coming back. That is when a psychiatrist’s opinion can make a real difference.
Anxiety and depression: a quick overview
Depression is more than a bad day or feeling down for a while. Symptoms usually last at least two weeks and can include:
- persistent low mood or hopelessness
- losing interest or pleasure in things you used to enjoy
- tiredness and low energy
- changes in sleep or appetite
- poor concentration
- feelings of guilt or worthlessness
Anxiety disorders include generalised anxiety disorder, panic disorder, social anxiety and health anxiety. Symptoms can include:
- worry that is hard to control
- restlessness, tension and irritability
- a racing heart, breathlessness or dizziness
- panic attacks
- avoiding situations because of fear
Anxiety and depression often happen together.
Signs it may be time to see a psychiatrist
Consider a specialist opinion if:
- Treatment is not working. You have tried one or more medicines, or therapy, without enough improvement.
- Side effects are a problem. Your medication helps but the side effects are hard to live with.
- Symptoms keep returning. You feel better, then relapse again and again.
- You are unsure about the diagnosis. You wonder whether something else is going on, such as ADHD, bipolar disorder, trauma or a sleep problem.
- It is affecting your life. Work, relationships or daily tasks are significantly affected.
- You want a second opinion before making decisions about treatment.
What can a psychiatrist do that is different?
A psychiatrist is a doctor specialising in mental health. They can:
- carry out a detailed assessment of your symptoms, history and physical health
- clarify the diagnosis, including looking for conditions that can be missed
- review your medication and suggest changes, combinations or alternatives
- advise how to safely stop or switch medication
- recommend other support, such as talking therapies
- write a clear plan for you and your GP
Happy Clinic provides psychiatric assessment and medication management. It does not provide therapy itself, but your psychiatrist can advise on the right therapy for you.
Preparing for your appointment
Bring:
- a list of all medicines you have tried, the doses, how long you took them and what happened
- any therapy you have had
- how your symptoms affect your daily life
- questions you want to ask
What if I am in crisis?
If you are having thoughts of ending your life or feel unable to keep yourself safe, do not wait for an appointment. Call 999, go to A&E, call NHS 111, or call Samaritans free on 116 123, any time.
Getting help
If your anxiety or depression is not improving, you do not have to keep struggling. You can book a video consultation with a Consultant Psychiatrist at Happy Clinic, usually within days and with no GP referral.
Speak to a Consultant Psychiatrist
Book a secure video consultation with Happy Clinic. No GP referral needed, with appointments usually available within days.
This article is general information and is not a substitute for personal medical advice. If you are in crisis, call 999, go to A&E, call NHS 111 or call Samaritans free on 116 123.