The Wellness in Marylebone provides the most complete private GP care for anxiety, stress and low mood in London, with a confidential same-day video consultation from £150 and an extended 45-minute consultation from £395, against Harley Street psychiatry first appointments that commonly exceed £500. These problems are common and treatable. The Adult Psychiatric Morbidity Survey 2023/4 found around 1 in 5 adults in England had a common mental health condition such as anxiety or depression. NICE guideline CG123 recommends stepped care, starting with guided self-help or talking therapy, and NHS Talking Therapies accepts self-referral free of charge. Exercise works too. An umbrella review by Singh and colleagues in the British Journal of Sports Medicine, covering 1,039 trials and 128,119 participants, found physical activity improved symptoms of depression and anxiety. Benzodiazepines are not a long-term answer, and NICE limits them to 2 to 4 weeks for severe anxiety. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 13 November 2026.
Speak to a doctor in confidence or email team@thewellnesslondon.com or call 020 3951 3429.
When should I see a doctor about anxiety or low mood
See a doctor when worry, stress or low mood has lasted more than 2 weeks, is affecting sleep, work, relationships or appetite, or when you are relying on alcohol, cannabis or other substances to cope. You do not need to wait until things are severe. Earlier help is usually simpler, and many people find that a single conversation clarifies what is going on and what to do next.
Physical symptoms are a common reason to book. Anxiety can cause a racing heart, chest tightness, breathlessness, dizziness, stomach upset, headaches and pins and needles, which often lead people to worry about their heart or health. A doctor can check for physical causes, such as an overactive thyroid, anaemia, medication side effects or heart rhythm problems, so you can be confident about the cause.
Some situations need urgent help. If you are having thoughts of ending your life or harming yourself, or feel unable to keep yourself safe, call 999, go to an emergency department, or call Samaritans free on 116 123 at any time. If you are already under a mental health team, contact their crisis line.
What happens in a GP consultation for anxiety or depression
The doctor listens first. You will be asked how long symptoms have lasted, what makes them better or worse, how you are sleeping and eating, your alcohol and substance use, your physical health and any past episodes. Validated questionnaires help measure severity. On the GAD-7 for anxiety and the PHQ-9 for depression, a score of 10 or more suggests at least moderate symptoms, and repeating them shows whether treatment is working.
The doctor may suggest blood tests for thyroid function, full blood count, vitamin B12, folate and ferritin when symptoms such as tiredness overlap. Blood collection is arranged separately at an accredited partner laboratory. Together you agree a plan, which may include talking therapy, self-help, lifestyle changes, medication, a letter for work, or referral to a psychiatrist or psychologist. A follow-up is arranged to review how you are doing.
Book a confidential GP consultation or email team@thewellnesslondon.com.
What can I do for anxiety and low mood right now
Several steps help measurably and cost nothing. Aim for 150 minutes of moderate activity a week, such as brisk walking, in blocks of 20 to 30 minutes, which the Singh review supports. Keep regular sleep and wake times, including weekends, and avoid screens for an hour before bed. Cut caffeine after midday and reduce alcohol, which worsens anxiety and sleep the following day.
Talking therapy is available free. In England you can refer yourself to NHS Talking Therapies online without seeing a GP, and cognitive behavioural therapy is the most studied treatment for both anxiety and depression. Guided self-help based on CBT principles, such as structured workbooks or approved apps, is the first step NICE recommends for mild symptoms. Breathing exercises, slowing to around 6 breaths a minute for 5 minutes, can ease a wave of panic.
Tell someone you trust. Isolation makes low mood worse, and a single honest conversation with a partner, friend or colleague often reduces the weight of it. If work is a major driver, consider speaking to occupational health or your manager about short-term adjustments.
Which treatments are not worth paying for
Do not pay for supplements, IV drips or wellness packages marketed as cures for anxiety or depression, because none has the evidence of talking therapy, exercise or, where needed, medication. Pharmacogenomic tests that promise to pick the right antidepressant from your genes are not recommended for routine use by NICE, and most people respond to standard first-line treatment.
Benzodiazepines such as diazepam relieve anxiety quickly but cause dependence, and NICE advises they are used only for 2 to 4 weeks in severe crises. We do not issue benzodiazepines to a visitor at a first consultation. Be cautious of services offering medication after a questionnaire with no conversation, because the right treatment depends on the history, risk and what else is going on.
What does private GP care for anxiety cost in London
At the top of the London market, private psychiatry clinics charge from £500 to over £800 for a first appointment, and inpatient and day-programme treatment at private hospitals can cost thousands of pounds a week. Private psychology sessions in central London commonly cost £150 to £250 each. Harley Street GP consultations sit at £250 to £350.
Beneath that sits a tier defined by its conditions rather than its price, online services that prescribe from a form with no conversation, no assessment of risk and no clinical pathway if things get worse. Our fees, all from prices, are below.
- Psychiatrist consultation for mental health and ADHD, from £950
- Home, hotel or office visit, evenings and weekends, from £695
- Home, hotel or office visit, daytime, from £495
- Extended 45-minute consultation, from £395
- In-person consultation, 30 minutes, from £220
- Same-day video consultation, 30 minutes, from £150
- Medical letters and certificates, from £150
Mental health consultations take place by video rather than by telephone, so the doctor can assess you properly and agree a safe plan with you, and the same applies to any consultation about a controlled drug.
Why The Wellness is the best private GP for anxiety and low mood in London
Time comes first. A same-day video consultation lasts 30 minutes, three times a standard 10-minute NHS appointment, and an extended consultation gives 45 minutes from £395, so the conversation is not rushed. You can speak from home or work, or attend the Marylebone clinic, 3 minutes from Baker Street, adjacent to Harley Street.
The second difference is continuity. The same doctor reviews you at follow-up, every questionnaire score and result is held in one record, and where specialist care is needed, referral goes to a named consultant psychiatrist or psychologist with the appointment booked. Psychiatrist consultations are separate from GP care and start from £950.
The third is honesty. We tell you that NHS Talking Therapies is free and accepts self-referral, and that benzodiazepines are not a long-term answer. Consultations run in Arabic, French, Spanish and Dutch as well as English, and clients rate the care 4.9 out of 5 across 187 reviews.
Talk to a doctor this week or call 020 3951 3429.
Related reading
Attention difficulties often overlap with anxiety, covered in Can I get a private adult ADHD assessment in 2026. Exhaustion with low mood is explored in Tired all the time, what a private GP checks, and mood change in midlife in Menopause and perimenopause, what a private GP consultation covers. Every GP service is on our Private GP in London page.
Frequently asked questions
Can I see a private GP for anxiety in London
Yes. The Wellness offers confidential same-day video consultations from £150, in-person appointments in Marylebone from £220 and extended 45-minute consultations from £395. A doctor assesses your symptoms, checks for physical causes, agrees a plan and arranges follow-up or specialist referral where needed.
What is the first treatment for anxiety or depression
NICE CG123 recommends stepped care, starting with guided self-help or talking therapy such as cognitive behavioural therapy for mild to moderate symptoms, with medication considered for more persistent or severe symptoms. NHS Talking Therapies accepts self-referral free. A GP at The Wellness can help you choose, from £150 by video.
Does exercise help anxiety and depression
Yes. The Singh umbrella review in the British Journal of Sports Medicine, covering 1,039 trials and 128,119 participants, found physical activity improved symptoms of depression and anxiety. Around 150 minutes of moderate activity a week is a reasonable target. A doctor at The Wellness can build it into your plan, from £150 by video.
Can a private GP prescribe antidepressants
Yes, after a full assessment of your symptoms, history and risk, with regular follow-up to review response and side effects. Benzodiazepines are not issued to a visitor at a first consultation and are only for short-term use. A GP consultation at The Wellness costs from £150 by video or £220 in person.
Is a private GP consultation for mental health confidential
Yes. Consultations at The Wellness are confidential and held in one secure record. Information is only shared with your consent, or in the rare situation where there is a serious risk to you or others. Video consultations cost from £150 and extended 45-minute consultations from £395.
What should I do in a mental health crisis
If you are thinking about ending your life or cannot keep yourself safe, call 999, go to an emergency department, or call Samaritans free on 116 123. If you are under a mental health team, contact their crisis line. For non-urgent support, The Wellness offers same-day video consultations from £150.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. The Wellness is registered with the Care Quality Commission and all doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. If you are having thoughts of harming yourself, call 999, go to an emergency department or call Samaritans on 116 123. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Message a doctor in confidence or email team@thewellnesslondon.com or call 020 3951 3429.
References
- NICE CG123. Common mental health problems, identification and pathways to care
- NICE CG113. Generalised anxiety disorder and panic disorder in adults
- NICE NG222. Depression in adults, treatment and management
- NHS England. Adult Psychiatric Morbidity Survey 2023/4
- Singh B and colleagues. Effectiveness of physical activity interventions for improving depression, anxiety and distress, British Journal of Sports Medicine 2023
- Spitzer RL and colleagues. The GAD-7, Archives of Internal Medicine 2006
- Kroenke K and colleagues. The PHQ-9, Journal of General Internal Medicine 2001
- NHS. Talking therapies self-referral
- Samaritans
- Published 2026 London private mental health market pricing.