Normally a patient is referred by their General Practitioner (GP). However, Dr Macaulay recognises that there are times patients do not want to involve their GP and he will see them without a referral letter.
Most people are apprehensive about meeting a Psychiatrist. The first consultation usually lasts an hour or so and the Psychiatrist will ask about the problems and background history. Sometimes close family members or friends are involved in this assessment.
Most people are treated on an outpatient basis. Often medicine is prescribed and talking therapy can be helpful. Sometimes a specialist outpatient group treatment programme or day hospital attendance is advised. Occasionally in-patient care is recommended.