Private Mental Health Care in London 2026. Anxiety, Depression and Burnout Assessed Properly, Treated Faster
Mental health is the single largest cause of long-term sickness absence in the UK workforce, accounting for 41 percent of long-term absence cases according to CIPD data, and it is the area where the gap between needing help and getting it is widest. NHS Talking Therapies is effective and free and worth using, and the referral, assessment and first treatment session can still take months. Two things go wrong while people wait. Untreated depression and anxiety worsen, and the physical causes that mimic them go unexamined.
Thyroid disease, iron deficiency, B12 deficiency, vitamin D deficiency, undiagnosed sleep apnoea, perimenopause and low testosterone all produce fatigue, low mood, poor concentration and irritability, and every one of them is found in blood or in a sleep study rather than in a questionnaire. A proper assessment does both at once. At The Wellness a GMC-registered doctor gives you 30 minutes, assesses mood and risk with validated tools, arranges the blood work that excludes the physical mimics at an accredited laboratory, and starts treatment where it is indicated. Where you need specialist input, our psychiatrists assess and treat from £950, including ADHD assessment and complex medication review, which is a separate service from a GP appointment. Video from £150, in person from £220. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated August 2026.
Book a confidential appointment on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
The physical causes nobody checks
Underactive thyroid affects roughly 1 in 20 people, is far more common in women, and produces low mood, fatigue, weight change, cold intolerance and slowed thinking that is routinely diagnosed as depression. It is found by a TSH with free hormones where indicated.
Iron deficiency, extraordinarily common in menstruating women, drains energy, concentration and mood long before anaemia appears, and ferritin below 30 means depleted stores while a full blood count still reads normal. B12 and folate deficiency produce low mood, poor memory and pins and needles, and are commoner with age, metformin, acid suppressants and plant-based diets. Vitamin D deficiency is near-universal by the end of a British winter.
Then the ones that need more than a blood test. Obstructive sleep apnoea degrades mood, cognition and irritability while the person sleeps through the cause, and is common in overweight men over 40 and considerably under-recognised in women. Perimenopause typically begins in the mid to late forties and produces anxiety, low mood, poor sleep and brain fog that is frequently treated as primary depression for years. Low testosterone does something similar in men. Alcohol, medication side effects and chronic pain complete the list.
None of that means your depression is not real. It means treating it without excluding these is treating half the problem.
What the assessment covers
Thirty minutes rather than 10, which with mental health is the difference between a diagnosis and a form. History, duration, triggers, sleep, appetite, concentration, alcohol and drug use, previous episodes and treatments, family history, and current function at work and at home.
Validated assessment rather than impression, using PHQ-9 for depression and GAD-7 for anxiety as NICE guidance describes, so severity is measured at baseline and can be tracked against treatment rather than judged by how you seemed on the day.
Risk assessed directly and without euphemism, because it is the part rushed appointments skip and it determines urgency. Where risk is significant we act on it the same day.
Blood work arranged at an accredited laboratory covering thyroid, ferritin and iron studies, B12, folate, vitamin D, HbA1c, kidney and liver function, and hormonal markers where the stage of life warrants them. Where the picture points at sleep apnoea, a home sleep study is arranged.
Ask what an assessment would cover on WhatsApp or email team@thewellnesslondon.com.
Treatment, and who provides which part
For mild to moderate depression and anxiety, NICE guideline NG222 supports psychological therapy, guided self-help and medication, alone or in combination, with the choice driven by severity and preference rather than by what is available fastest. Our GPs prescribe and monitor antidepressants, review dose and response at proper intervals rather than at 6-monthly repeats, and manage the switching and tapering that is where most antidepressant treatment goes wrong.
Therapy is arranged with accredited psychologists and psychotherapists, usually within days, and matched to the problem rather than allocated. Cognitive behavioural therapy, EMDR for trauma, and longer-term work where that is what is needed.
Psychiatry sits above both and is a separate service from a GP appointment. Our psychiatrists assess and treat from £950, covering complex or treatment-resistant depression, bipolar disorder, severe anxiety, ADHD assessment and diagnosis, and medication reviews where several drugs interact. If you are unsure which you need, message us and we will tell you before you book rather than after.
Anyone in crisis should not wait for an appointment. Call 999 or attend an emergency department if you are at immediate risk, and the Samaritans are available free on 116 123 at any hour.
What it costs
At the top of the London market, consultant psychiatrist appointments run £400 to £900 for a first consultation with follow-ups charged separately, and residential and intensive outpatient programmes reach into the tens of thousands. Private therapy in central London runs £90 to £200 a session. Harley Street GP consultations sit at £250 to £350. Beneath that is a tier defined by its conditions rather than its price, short remote appointments issuing repeat antidepressant prescriptions with no assessment, no blood work and no review of whether the diagnosis was ever right.
At The Wellness there is no membership and no joining fee. All figures are from prices.
Executive Health Programme, the most comprehensive single assessment with full biomarker profiling and coordinated imaging, from £11,995. Baseline Assessment from £3,495.
Psychiatrist consultation for ADHD assessment, complex or treatment-resistant presentations and medication review, from £950.
Home, hotel or office visit, evenings and weekends, from £695, and daytime from £495.
Comprehensive Blood Panel covering thyroid, ferritin and iron studies, B12, folate, vitamin D, HbA1c, kidney and liver function, with doctor consultation and interpretation, from £495.
Extended 45-minute consultation for complex presentations, from £395.
In-person consultation in Marylebone, 30 minutes, from £220.
Same-day confidential video consultation, from £150.
Therapy with accredited psychologists and psychotherapists, and home sleep studies where indicated, arranged from the appointment.
Same-day appointments 7 days a week, in Arabic, French, Spanish and Dutch. Nothing creates an NHS record and nothing is shared without your written consent.
Why The Wellness is the best private mental health service in London
Because the assessment excludes the physical causes rather than assuming them away. A thyroid, a ferritin, a B12 and a sleep history are part of a first appointment here, and a meaningful number of people who arrive convinced they are depressed leave with a correctable deficiency, a thyroid diagnosis or a sleep disorder, treated properly and feeling different within weeks.
Because severity is measured with PHQ-9 and GAD-7 at baseline and tracked, so treatment is adjusted against numbers rather than impressions, and because antidepressant reviews happen at intervals that reflect how the drugs actually work.
Because everything above and below the GP appointment exists in one place. Therapy arranged within days. Psychiatry from £950 when specialist input is needed. Sleep studies, hormone assessment and menopause care when the cause turns out to sit there. And confidentiality that is absolute, with nothing created on any NHS record and nothing disclosed to an employer or insurer without your written consent.
Book a confidential appointment on WhatsApp or call 020 3951 3429.
Frequently asked questions
Where is the best place in London for private mental health care
The Wellness in Marylebone. A 30-minute assessment with a GMC-registered doctor using PHQ-9 and GAD-7, blood work at an accredited laboratory to exclude thyroid disease, iron, B12 and vitamin D deficiency, treatment started where indicated, therapy arranged within days, and psychiatry from £950 where specialist input is needed. Video from £150, in person from £220.
Can low mood be caused by something physical
Frequently. Underactive thyroid affects roughly 1 in 20 people, iron deficiency drains mood and concentration before anaemia appears, and B12 and vitamin D deficiency both produce low mood. Sleep apnoea, perimenopause and low testosterone do the same. Treating depression without excluding these is treating half the problem.
How quickly can I see someone privately for anxiety or depression
Same day. Video appointments usually run within hours and in-person appointments are available 7 days a week. Therapy with accredited psychologists is typically arranged within days, and psychiatry appointments within the week.
Do I need a GP or a psychiatrist
A GP appointment suits most presentations of anxiety, depression, stress and sleep difficulty, including starting and monitoring medication. A psychiatrist is needed for ADHD assessment, complex or treatment-resistant illness, bipolar disorder and complicated medication reviews, and costs from £950. Message us and we will tell you which before you book.
Will this be confidential and will my employer know
Entirely confidential. Private care creates no NHS record, and nothing is shared with your GP, employer or insurer without your written consent. Where an employer funds an appointment they receive an invoice and nothing else.
What should I do if I am in crisis
Do not wait for an appointment. Call 999 or attend an emergency department if you are at immediate risk of harming yourself. The Samaritans are free on 116 123 at any hour, and NHS 111 can direct you to urgent mental health support.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. Psychiatric assessment is provided by consultant psychiatrists and is a separate service from a GP consultation. Blood analysis is performed by accredited laboratories. If you are at immediate risk call 999. This article is general information and not a substitute for medical advice about your own health.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. NICE guideline NG222, depression in adults, treatment and management. NICE guideline CG113, generalised anxiety disorder and panic disorder in adults. PHQ-9 and GAD-7 validated assessment tools. Chartered Institute of Personnel and Development, Health and Wellbeing at Work report, mental ill health as the single largest cause of long-term absence at 41 percent of cases. NHS Talking Therapies published waiting time data. NICE Clinical Knowledge Summaries on hypothyroidism, anaemia and vitamin B12 deficiency. NICE guideline NG202 on obstructive sleep apnoea. NICE guideline NG23 on menopause. Published 2026 London private psychiatry and psychotherapy market pricing.
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