Do you need a referral for mental health assessment?

You may not need a referral for a mental health assessment, but the route depends on the service, clinician, and your symptoms. A general practitioner can assess your concerns, discuss immediate safety, and direct you to an appropriate professional. Some psychology or psychiatry services accept self-referrals, while others ask for a referral before booking.

The appointment usually covers mood, anxiety, sleep, concentration, relationships, daily functioning, physical health, medicines, alcohol or drug use, and any thoughts of self-harm. You can describe what changed, when it started, and how it affects work, study, home life, or caring responsibilities. The clinician may suggest talking therapy, medical treatment, practical support, or further assessment.

Start by checking the booking requirements of the service you want to use. If you are unsure, book with a general practitioner and take a short list of symptoms, medicines, previous diagnoses, and questions. Ask whether the assessment is with a psychologist, psychiatrist, counsellor, or another trained professional, and whether a family member or interpreter can join.

Seek urgent help if you may harm yourself or someone else, cannot care for basic needs, feel detached from reality, or hear or see things others do not. Contact local emergency services or go to an emergency department. Do not wait for a routine referral when there is immediate danger; stay with a trusted person if possible.

Ask: Do I need a referral for this service? What type of assessment fits my concerns? How soon should I be seen? What should I do if symptoms worsen while I wait? Can you explain the treatment options and how my information will be shared?