Second Opinions

What is a second opinion? Why get a second opinion? When should I get a second opinion? Do I need a referral for a second opinion?
What is a second opinion?

A second opinion is simply an assessment that is done by an additional, independent doctor who is able to cast a fresh pair of eyes over your case. You may have already been given a diagnosis, but you aren’t sure if it’s correct or fits what you’re experiencing. On the other hand, you may have been told there is nothing wrong at all, but you still don’t feel right. Or, you may be in agreement with your current diagnosis, but feel that your treatment plan is not working well enough or is not suited to you.

Our psychiatrists are happy to provide second opinions and will work in conjunction with your existing clinician. If you feel that your current diagnosis, or lack thereof, does not sit quite right, we’re here to help. With your consent, our psychiatrists can request copies of your medical records in order to review your history ahead of having an appointment with you. At your second opinion consultation, they would discuss your medical history in detail, your current symptoms and your existing treatment plan. They will listen to any concerns you may have and explore what currently is and isn’t working for you. After your consultation, the psychiatrist will produce a report detailing their objective opinion about your case and their recommendations for your treatment plan.

Whilst our psychiatrists will take great care to review your case, your history and do their best to understand your lived experience, in some instances their opinion may well be similar to your existing clinician’s diagnosis or treatment plan.

We offer a specialist second opinion service, both face-to-face and remotely for patients from all over the world, covering everything from complex circumstances to deciding on treatment options. Sometimes, your original clinician may request a second opinion, particularly if your case is a complex one. Or they feel that their current treatment plan for you is not optimal and they would like additional expertise to formulate a better treatment plan for you.

Why get a second opinion?

You may have multiple reasons why you could be considering a second opinion, including:

  • You’re not confident about your current diagnosis or treatment
  • You have unanswered questions or want to expand further on the diagnosis and treatment plan you currently have
  • You’ve been told that there is nothing wrong with you, but you still don’t feel right
  • You’ve tried several treatments in the past and feel none of them have worked
  • You’ve been experiencing multiple side effects and you may want to try other medications or non-pharmacological treatments
  • You’d like to discuss and explore other treatment options that you’ve heard of, but which haven’t been offered to you yet
  • You’re trying to come off medication but would like additional advice from another expert as you may not be comfortable with what your current clinician has suggested
When should I get a second opinion?

If you’re worried that your symptoms aren’t improving or if you feel uncertain about your diagnosis, it’s never too late to get a fresh point of view in the form of a second opinion. We understand that going through an episode or experiencing symptoms can be distressing, and usually, additional reassurance from another expert can help to ease your worries.

If your current treatment plan isn’t effective, or perhaps you’re suffering with unwanted side effects, then a second opinion could be helpful. Perhaps you haven’t explored other evidence-based approaches, which could include alternative medications or non-pharmacological options. Our psychiatrists will take their time to look at your individual circumstances and symptoms, before offering personalised treatment recommendations to suit your needs.

You might also feel that you’ve been misunderstood by previous doctors and that your current diagnosis doesn’t fit your symptoms. Our psychiatrists will always take a non-judgemental and open-minded approach when assessing your case.

Do I need a referral for a second opinion?
You can ask your GP or treating doctor for a referral for a second opinion, or you can call us directly to book for a second opinion appointment. If you feel uncomfortable about asking for a referral from your current doctor, please don’t be worried or concerned as this is a common practice within both the NHS and private healthcare to seek a second opinion. This is particularly the case for mental health conditions, due to the complex nature of symptoms and variation between different people.
Which psychiatrist should I see for a second opinion?

Our psychiatrists are all highly experienced in providing second opinions, so you can choose the psychiatrist who you feel is best suited to your personal preferences.

If you’re unsure about who would be the most suitable psychiatrist for your condition, our team of experienced and friendly practice managers will help you to find the right fit. Our psychiatrists cover a whole range of mental health conditions with expertise in each field, so rest assured we can find the right psychiatrist for you.

Will my insurance cover a second opinion assessment?

In most cases, your insurer should be able to pay for a second opinion assessment.

However, this will need to be discussed with your insurance company before booking an appointment, as policies vary.

Our experienced and friendly team of practice managers will be happy to help you liaise with your insurance company to see if this can be covered for you.

Speak with a Consultant Psychiatrist today
We can arrange a brief courtesy call directly with one of our psychiatrists so you can judge for yourself if you feel comfortable talking to them.
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Gemma Luke

My name is Dr Gemma Luke, a consultant clinical psychologist. I have been working in the field of mental health for over 20 years, and as a qualified clinical psychologist since 2011.

Conditions I treat:
Self-HarmAddictions AnxietyBDDBipolar disorderBehaviour problemsDepression Eating DisordersOCDPanic AttacksPersonality DisordersTrauma & PTSDOffending behaviour (domestic, violent, and sexual abuse)Behavioural issues

I am passionate about promoting positive mental health and strive to work holistically with both mind and body to help my clients achieve lasting change.

Fees

Initial consultations: £245 (1 hour)

Follow-up consultations: £245 (1 hour)

Alexandra Madureira

I’m a Clinical Psychologist who thinks outside the box. I have a creative and passionate approach that focuses on healing emotions while also considering life situations and neurobiological mechanisms.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersTrauma & PTSD

I believe feeling safe is a prerequisite for change and therefore I focus on making people feel comfortable, so they can gain the courage to face and break unhelpful psychological patterns.

Fees

Please contact us for more information

Dr Ana Tsakiri

My Trauma-informed practice and holistic therapeutic approach aims to support children during periods of acute crisis but also help them with long standing emotional and behavioural difficulties. I work with families to understand how adversity and trauma has impacted a child’s world causing emotional and mental health difficulties as well as physical symptoms. I am also a Consultant Psychiatrist specialised in Interventional Psychiatry with TMS therapy for young people with resistant emotional difficulties and severe depression.

Conditions I treat:
ADHDAnxietyAutismBehavioural problemsBDDBipolar disorderBrain inuryComplex TraumaDepression Eating DisordersEmotional Difficulties Family workInterpersonal relationship problemsOCDPanic AttacksParental Psychoeducation about Mental Health DisordersPersonality DisordersPhychosomatic symptomsPsychosisPTSDSleep problems

The aim is always for your child to overcome the negative influence of the experience, redefine how they feel and rebuild their confidence

Fees
First Consultation:
£395
(1 hour)
First Consultation:
£650
(1.5 hours)
First Consultation:
£790
(2 hours)
Follow-up consultations:
£245
(30 min)
Follow-up consultations:
£295
(40 min)
Follow-up consultations:
£395
(60 min)

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy. I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.
Conditions I treat:
Depression and Dysthymia​Depression and Dysthymia​Depression and Dysthymia​

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£275
(30 minutes)
Follow-up consultations:
£320
(40 minutes)
Follow-up consultations:
£475
(60 minutes)

Lynn Gruwez

I’m a Clinical Psychologist with experience across a range of mental health conditions. My goal as a therapist is to see each person as someone unique and human. I seek to understand in depth the nature of any mental health symptoms so that I can flexibly and creatively adapt therapy to suit your circumstances.

Conditions I treat:
ADHDAddictions AnxietyBDDBipolar disorderBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaOCDPanic AttacksSleep problemsTrauma & PTSD

I believe in a holistic, non-judgemental approach where clients have the space and freedom to share their fears without constraint. I have a strong interest and passion for Mindfulness.

Fees

Please contact us for more information

Dr Triveni Joshi

I am a Consultant Psychiatrist specialising in Child and Adolescent Psychiatry with over 15 years clinical experience. I treat a wide variety of mental health and emotional conditions with an emphasis on holistic treatment and working with parents/carers.

Conditions I treat:
ADHDAngerAnxietyAutismBDDBipolar disorderBehavioural difficultiesDepression Emerging Personality DisordersOCDPanic AttacksParentingPsychosisSleep problemsTrauma & PTSD

I love to work with children. I wholeheartedly believe that early intervention is one of the best ways to successfully manage long term mental health problems.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Regina Sala

I am a caring and approachable medical doctor specializing in cognitive, behavioural and emotional well-being in children, adolescents, adults and their families. My ethos is to offer excellence of care based on evidence-based research with respect and compassion.

Conditions I treat:
ADHDAutismAddictions AnxietyAttachment difficultiesBDDBehaviour problemsBereavement, grief and lossBipolar disorderBrain injuryChronic painDepressionEating DisordersFamily TherapyFibromyalgiaIntellectual disabilityMedically unexplained symptomsOCDPanic AttacksPersonality DisordersPsychosisPsychosomatic symptomsSleep problemsSocial communication disorderSpecific learning disordersTics and Tourette’s syndromeTrauma & PTSD

I see my patients as human beings and aim to foster a sincere and relaxed environment so that we can build trust during our sessions. I believe in a positive body-mind integration with neuroscience’s principles to empower self-awareness, resilience and personal growth

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Maria M. Herves

I am a General Psychiatrist with great interest in childhood and adolescence psychiatry. I have been working specifically in this field over the last 10 years. I believe that supporting mental health at early stages in life can prevent it from developing further into more persistent difficulties in adulthood.

Conditions I treat:
ADHDAnxietyAutismBehaviour problemsBipolar disorderChronic painComplex trauma and PTSDDBT(Dialectical behaviour therapyDepressionEmotional DysregulationFamily workFibromyalgiaMemory problemsOCDPanic AttacksParentingPersonality DisordersPsychosisPsychosomaticSchool bullying and cyberbullyingSleep problems

I regard the patient as the product, not the problem. They are a result of their environmental, genetic and social influences, all of which can be addressed and supported with professional help.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£250
(30 min)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Iyas Assalman

I am a Consultant Psychiatrist specialised in General Adult Psychiatry. I treat a wide variety of mental health and emotional conditions and I have an expertise in treating Adults with ADHD.

Conditions I treat:
ADHDAnxietyBDDBehaviour problemsBipolar disorderDepressionMemory problemsOCDPanic AttacksPsychosisSleep problemsTrauma and PTSD

Rather than seeing you as a diagnosis or trying to change your personality, I want to understand my patients as a whole person.

Fees
First Consultation:
£495
(1 hour)
First Consultation:
£745
(1.5 hours)
First Consultation:
£980
(2 hours)
Follow-up consultations:
£290
(30 min)
Follow-up consultations:
£385
(40 min)
Follow-up consultations:
£495
(60 min)

Dr Luis Alameda

I am a General Adult Psychiatrist and a Neuroscience Researcher. I specialise in severe mental conditions including trauma. I offer an individualised intervention integrating psychotherapy and medical approaches.

Conditions I treat:
AnxietyBorderline Personality DisorderBipolar disorderBrain inuryBehaviour problemsChronic painDepression Dissociative disordersNarcissistic Personality DisorderOCDPanic AttacksPersonality DisordersPsychosisReactions to acute stressSchizophreniaSchizoaffective DisorderSleep problemsTrauma & PTSD

I believe that difficulties in managing mental health are a normal part of life and far more common than you might think. They present an opportunity to understand the problem, become more self-aware and progress on your journey.

Fees
First Consultation:
£395
(1 hour)
Follow-up consultations:
£220
(30 min)
Follow-up consultations:
£330
(45 min)

Dr Lara Lavadiño

I am a General Adult Psychiatrist specialised in Adult, Child and Adolescent Psychiatry. I have specialist expertise in managing complex and long term conditions. I am an EMDR (Eye Movement Desensitization and Reprocessing) certified psychotherapist also integrating Cognitive-Behavioural Therapy (CBT), Systemic Therapy and Psychodynamic Psychotherapy principles.

Conditions I treat:
ADHDAnxietyAutismBDDBehaviour problemsBrain injuryChronic fatigueChronic painDepressionDissociationFibromyalgiaLearning DisabilityOCDPanic AttacksPanic/AgoraphobiaParentingPerformance anxiety in Music, Acting and SportsPerinatal PsychiatryPersonality DisordersPsychosisSleep problemsSocial phobiaTinnitus and VertigoTrauma & PTSD

I believe in a positive psychiatry approach, empowering both children and adults to overcome any difficulties by providing education and support on their condition, along with a holistic and personalised treatment plan.

Fees
First Consultation:
£475
(1 hour)
First Consultation:
£720
(1.5 hours)
First Consultation:
£895
(2 hours)
Follow-up consultations:
£320
(40 min)
Follow-up consultations:
£475
(60 min)

Dr Srinvas Lanka

I am a Consultant Psychiatrist specialising in Adult Psychiatry and Neuropsychiatry. I treat a wide variety of mental health and emotional conditions and have specialist expertise in managing complex and long term conditions.

Conditions I treat:
ADHDAutismAddictions AnxietyBDDBipolar disorderBrain inuryBehaviour problemsChronic painDepression Eating DisordersFibromyalgiaMemory problemsOCDPanic AttacksPersonality DisordersPsychosisSleep problemsTrauma & PTSD

I try to understand your treatment goals, values, limitations and preferences, so we can personalise your treatment using the best approach that gives you sustained recovery.

Fees
ADHD Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£290
(30 min)
Follow-up Consultation:
£580
(1 hour)

Dr Jonathan Garabette

I am a Psychiatrist specialising in General Psychiatry and Medical Psychotherapy.
I treat most mental health difficulties and offer a range of approaches including medication, psychological therapies and lifestyle modification.

Conditions I treat:
Addictions AnxietyBDDBipolar disorderBorderline Personality DisorderComplex TraumaDepersonalisationDepression Eating DisordersInsomniaOCDSleep problemsPanic AttacksPsychosisTrauma & PTSD

I always try to focus on understanding you as a whole person and how any symptoms, problems and diagnoses affect you, your life and what is important to you.

Fees
Initial Consultation:
£1160
(2 hours)
Initial Consultation:
£870
(1.5 hours)
Follow-up Consultation:
£580
(1 hour)
Follow-up Consultation:
£290
(30 min)

Dr Nagore Benito

I am a General Adult Psychiatrist with extensive experience in the diagnosis and treatment of most mental health conditions. I offer a person-centered and holistic approach.

Conditions I treat:
ADHDAnxietyBDDBipolar disorderDepression OCDPanic AttacksPsychosisSleep problemsTrauma & PTSD

The best six doctors anywhere, and no one can deny it are sunshine, water, rest, and air, exercise and diet. These six will gladly you attend If only you are willing Your mind they’ll ease Your will they’ll mend And charge you not a shilling
– Nursery rhyme quoted by Wayne Fields, What the River Knows, 1990

Dr Alberto Pertusa

I have a strong interest in behaviour modification, lifestyle optimisation and the use of self-quantification as a way to foster wellbeing and increase performance.

Conditions I treat:
ADHDAddictionsAnxietyBinge EatingOCDOrthorexiaSleep problems

I always strive to provide the highest standards of care to all my patients.
I endeavour to offer personalised and bespoke treatment in order to meet your specific needs