Our Services
The London Psychiatry Clinic offers a supportive environment where you can receive holistic, evidence-based treatments and personalised care from a world-class team of highly qualified specialists.
We support individuals with:
Expert Witness & Medico-Legal Reports
High-quality, independent witness and medico-legal reports for solicitors, barristers, courts and tribunal services on behalf of claimants, defendants or on a joint instructional basis.
Case Management & MDT Services
We offer bespoke multi-disciplinary team (MDT) services, sometimes referred to as “case management”, which are tailored to each patient and their specific needs.
Second Opinions
A second opinion is simply an assessment that is done by an additional, independent doctor. You may have already been given a diagnosis, but don’t feel it suits what you’re experiencing.
One clinic, working as integrated units
Our specialists are organised into units rather than working as individuals who happen to share an address. Each unit brings together psychiatrists, psychologists, therapists and other practitioners around one area of care, so the person you see has colleagues in the same room who see the same problems every week.
What is a multi-disciplinary team?
A multi-disciplinary team, or MDT, is a group of specialists from one or more clinical disciplines who meet regularly and work in close coordination with one another. The team discusses the medical and mental health care of each patient on an individual, case-by-case basis, and makes collaborative decisions about the best treatment approach.
The benefit is straightforward: by combining specialists from different areas, we can provide a higher level of integrated care, and communication between everyone involved is far better than it would be if each professional worked alone. Every one of our units works in this multi-disciplinary way as part of our standard approach. Where someone needs more than that, we also run a formal, more intensive MDT programme, which is described at the bottom of this page.
Our specialist units
Psychiatrists, psychologists and specialist practitioners for young people and their families.
ADHD, autism, AuDHD and related conditions, in children, young people and adults.
Independent psychiatric assessments and expert witness reports for legal proceedings.
Non-invasive brain stimulation, including TMS for treatment-resistant depression and OCD.
The relationship between brain function, energy metabolism and physical health.
The emotional and psychological effects of hormonal change at every stage of life.
Support after a single traumatic event, repeated difficult experiences, or childhood trauma.
Substance and behavioural addictions, and what is often driving them underneath.
Mental health assessment and support for people affected by cancer, at every stage.
A wide range of mental health conditions affecting adults, recent or long-standing.
Mental health, independence and quality of life in later life, including dementia.
Second opinions
A second opinion is an independent review of a diagnosis or a treatment plan by a consultant psychiatrist who has not been involved in your care.
People ask for one for all sorts of reasons. A diagnosis may not feel like it fits. Treatment may have been going on for a long time without the improvement you hoped for. You may have been given two different explanations by two different clinicians, or you may simply want a fresh pair of eyes before committing to a course of medication or therapy. Asking for a second opinion is a normal part of medical care and it is not a criticism of anybody.
A second opinion here is a full assessment in its own right. We read the history and any records you are able to share, we assess you directly, and we set out what we think and why in writing, including where we agree with the current plan. You keep your existing clinician: a second opinion is advice, not a transfer of care, and it is for you to decide what to do with it. Appointments are available in person at 60 Harley Street or online.
Medico-legal and expert reports
Our Medicolegal Unit provides independent psychiatric assessments and expert witness reports for legal proceedings, delivered to the highest professional standard.
Our psychiatrists have decades of combined medico-legal experience across civil, criminal, family and immigration proceedings. We understand that instructing solicitors and legal teams need reports that are thorough, clearly reasoned and produced efficiently, and we have built the service around those requirements.
All reports are prepared by consultant psychiatrists with relevant specialist expertise, and are written to meet the standards required by the Civil Procedure Rules and the Criminal Procedure Rules. We provide assessments in London, Birmingham and at other locations nationwide, including home visits where required.
Case management and intensive MDT services
We offer bespoke multi-disciplinary team services, sometimes referred to as case management, tailored to each patient and their specific needs.
The MDT approach is sometimes called case management, particularly in addiction services. We prefer the term intensive multi-disciplinary team, because it is more descriptive and in line with the nomenclature used in the NHS and in other best practice guidelines. Every unit here already works multi-disciplinarily on an informal basis as part of our standard approach. This service is the more intensive version of it: instead of clinicians simply communicating with each other as needed, the specialists involved hold regular, scheduled meetings to decide on the best treatment approach case by case.
Who it is for
A formal MDT programme is particularly beneficial for patients who have complex symptoms, multiple conditions, or who need intensive care. In some cases it can be an alternative to being admitted to a hospital or clinic — that depends on the level of risk involved and whether the person’s situation can safely be treated in the community as an outpatient rather than in hospital as an inpatient.
An MDT approach can be used for any condition, from burnout or anxiety through to more complex presentations such as addiction, autism, depression, bipolar disorder, borderline personality disorder or schizophrenia. It is also sometimes helpful in the context of difficult family dynamics, where a family intervention is useful — during a divorce, for example. We can provide a bespoke MDT approach from the age of 12 onwards into adulthood; the youngest patient we have provided case management for was 12, and there is no upper age limit.
What happens during a programme
Your psychiatrist will be in regular, close contact with you and with anyone else you would like involved in your treatment plan, such as your family, your loved ones or other professionals. The team generally meets at least once a week, so that everyone is up to date with your progress and clear on the next course of action.
Formal MDT programmes are often used in healthcare, and particularly in the NHS, to coordinate care across different professionals for patients who need a more intensive and coordinated level of care. Private practitioners frequently work in relative isolation, which is precisely the gap this service is meant to close.
What an MDT programme includes
- Ongoing assessments
- Customised therapy
- Care planning and facilitation
- Coordinating treatment with other specialists
- Regular communication and check-ups
Who is in the team
Our MDTs are always coordinated by a Consultant Psychiatrist, who takes the leading role. They tend to involve a range of other specialists, such as:
- The Practice Manager of the London Psychiatry Clinic, who has a general overseeing role (non-clinical)
- A Clinical Psychologist or Psychotherapist
- A Family Therapist
- A Registered Mental Health Nurse (RMN)
- The patient’s GP, whether private or NHS, whenever feasible
- A Care Coordinator
- A Mental Health Coach
- A Recovery Coach or Sober Companion
A patient may also benefit from the inclusion of other specialists, such as:
- A Nutritionist or Dietician
- A Physiotherapist
- A Personal Trainer
- A tutor or teacher from the school
- Social Services, if they are already involved in the case
Our practice management team is discreet and professional. We are happy to liaise with the patient directly where appropriate, but can also make arrangements with family members, or with their family office.
Case management for addiction
These services are particularly useful for patients with an addiction who are in active use and need an intervention to stop, or who have recently stopped and need a support network around them to help them grow stronger and avoid relapse. We can provide bespoke therapy, assist with attendance at 12-step meetings where wanted, coordinate with other addiction services, and offer many other forms of support along the recovery journey.
With the patient’s consent we can carry out regular urine drug testing and organise hair drug testing. Occasionally we use Soberlink, a professional-grade breathalyser with facial recognition that sends results in real time to the treatment team, and to family or loved ones if the patient agrees. It is a very useful strategy where abstinence from alcohol is otherwise difficult to monitor. If someone needs a detox, some of our psychiatrists have admitting rights to the Nightingale Hospital in Marylebone, and we can also assist with admission to another hospital in the UK or elsewhere depending on preference and on the expertise of the particular unit.
Fees for an MDT programme
Fees correspond to the time of the professionals involved, including time spent in meetings and on administration. For some intensive programmes there may be additional MDT charges. MDT teams tend to meet weekly, generally for 30 to 60 minutes, and there is a charge for each attending clinician. There may also be charges for additional reports, travel time or other special circumstances.
Before starting an MDT we always provide a quote setting out the fees and, where appropriate, the length of time and the level of intensity we recommend for the circumstances. If you would like to discuss an MDT approach for yourself or for someone else, email enquiries@londonpsychiatry.clinic and ask to speak with our Practice Manager.
Can I still be admitted to hospital while in a programme?
Yes. If that is your preference, or if your team strongly believes you would benefit from an admission, we would discuss it with you. We can offer admission at a number of hospitals near London, and can also suggest hospitals or clinics outside London or outside the UK depending on your needs and preferences.
Can a suicidal patient be managed outside hospital?
Following the initial assessment, the psychiatrist will determine whether the risk posed by suicidal thoughts is such that the patient should be admitted to a mental health clinic or hospital, in order to keep them safe and provide the right treatment. If so, we will help identify the right place for that admission. In some cases the psychiatrist may judge that it is safe to offer a treatment plan in the community involving a number of mental health professionals, with the risk monitored on a regular basis.
Can my child be under an MDT if Social Services are involved?
Yes. We have successfully collaborated with Social Services in previous cases.
How will I know whether an MDT is right for us?
Speak to our medical secretaries and they will talk you through how an MDT could fit your needs, or those of someone you care about. We can arrange a brief courtesy call directly with one of our specialists, so you can judge for yourself whether they have the right skills and experience for the case.