Anxiety, low mood, stress, panic and burnout.
Assessed and treated by a GMC-registered GP
Prescriptions, sick notes and referral letters included
A written treatment plan after every appointment
Your NHS records in the room, with your consent
Every condition below has its own page covering symptoms, causes, how it is diagnosed, whether it can be treated online, and when to seek urgent help.
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
Five-star Google reviews from the people we have looked after
Registered with the Care Quality Commission
Twenty minutes changes what is possible in a mental health consultation. The first answer to "how have you been" is rarely the true one, and a ten-minute appointment usually ends before the second.
If you need help now, do not wait for an appointment — call 999 in an emergency, 111 for urgent advice, or the Samaritans on 116 123 at any time.
The first answer to "how have you been" is rarely the true one, and a ten-minute appointment usually ends before the second. That is the honest case for a longer consultation here.
We will say so honestly and help you reach the right service rather than treat something we should not:
Stimulants — not remotely, under any circumstances. Benzodiazepines and sleeping tablets — not for ongoing use, and never started remotely. The answer is the same at 9pm as at midday, and it is a clinical position rather than an inconvenience.
You do not need to be in crisis to use these, and you do not need to justify calling.
NHS Talking Therapies takes self-referrals in England — no GP letter, no charge. Scotland, Wales and Northern Ireland have their own equivalent routes.
For mild to moderate depression and most anxiety disorders, CBT performs comparably to medication and its benefit lasts longer after it stops. It is under-used mostly because people assume they need a referral. They do not.
Options include CBT, guided self-help, counselling and digital programmes — some available immediately while a waiting list moves.
Exercise, with genuine evidence in mild to moderate depression. Sleep, addressed directly rather than assumed to follow. Reducing alcohol, which is a depressant and very often part of the picture. And social contact, which is the first thing depression removes and the thing that matters most.
Check the therapist is registered — BABCP for CBT, BACP or UKCP for counselling and psychotherapy. "Therapist" and "life coach" are not protected titles in the UK, and anybody may use them.
Many registered therapists offer reduced rates, and Mind and other charities provide low-cost options.
St John's Wort. It has some evidence for mild depression and interacts dangerously with hormonal contraception, other antidepressants, warfarin and epilepsy medication. It causes unintended pregnancies every year.
No, and it is not always the right answer.
For mild to moderate depression and most anxiety disorders, talking therapy works comparably to medication and lasts longer after stopping — and you can self-refer to NHS Talking Therapies free, without a GP letter.
Medication is genuinely useful for moderate to severe depression, and often best combined with therapy.
No — they do not cause craving or dose escalation, which is what addiction means.
But the body does adjust, and stopping abruptly causes discontinuation symptoms — dizziness, electric-shock sensations, flu-like feelings. These are real and can be considerable, particularly with paroxetine and venlafaxine. The answer is reducing slowly, not avoiding treatment.
Some benefit by two to four weeks; full effect at four to six.
Side effects come first, and anxiety can briefly worsen before it improves. That is why most people who stop do so in week two — just before it would have started helping.
Worth checking, and routinely missed. An underactive thyroid, iron deficiency, B12 deficiency, sleep apnoea and perimenopause all present as low mood and exhaustion.
So does alcohol, which is a depressant and very often part of the picture.
They overlap considerably, and the distinction matters. Burnout is tied to circumstances — it lifts on holiday and returns on Monday; depression generally does not lift.
Burnout sometimes needs the circumstances changed rather than the person treated, and an antidepressant will not fix an untenable job.
Worth considering, particularly where anxiety and low mood have been present since school and antidepressants have never quite worked.
We do not diagnose ADHD — that needs specialist assessment. But ask your GP about Right to Choose in England, which lets you request referral to any provider with an NHS contract, is often far faster than the standard wait, and is still free. It is badly under-used.
It should not, and if it does, that needs reviewing. Some people describe emotional blunting — feeling flattened rather than better — which is a recognised effect and a reason to change dose or drug.
The aim is to feel like yourself, not to feel less. Say so rather than putting up with it.
Common, under-discussed, and a frequent reason people stop without telling anyone. They can usually be managed by changing dose or switching. Please raise it.
Not benzodiazepines or sleeping tablets — not remotely, under any circumstances. They cause dependence and tolerance, stop working within weeks, and worsen anxiety in the longer run.
What does work for panic is treatment of the underlying anxiety, and CBT has strong evidence for it.
Only if you agree to it. Nothing is shared without your explicit consent, and declining does not affect your care.
The one thing worth weighing: if you are prescribed something, an NHS GP who does not know about it cannot check it against everything else you take.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 29, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
Patient reviews
