Our Services
At The Somerville Clinic we specialise in women's mental health. We offer full diagnostic assessments by experienced psychiatrists who are experts in their field. Our doctors offer assessments and treatment as part of a comprehensive treatment plan.
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General Psychiatric Assessment
Remote £495 / In Person £595
An hour long general assessment covering a range of mental health areas for adults. This includes depression, anxiety, psychosis, complex PTSD, PTSD, pre menstrual dysphoric disorder, bipolar and personality disorders (but excludes ADHD and ASD). The assessment includes a review of symptoms, diagnosis and treatment pathways including medication recommendations and prescriptions.
Extended General Psychiatric Assessment
Remote £795 / In Person £995
A two hour comprehensive psychiatric assessment for those with more complex mental health presentations that need in depth exploration. This includes depression, anxiety, psychosis, complex PTSD, PTSD, pre menstrual dysphoric disorder, bipolar and personality disorders (but excludes ADHD and ASD). The assessment includes an in-depth review of symptoms, diagnosis and treatment pathways including medication recommendations and prescriptions.
Attention Deficit Hyperactivity Disorder (ADHD) Assessment (Adult)
Remote £995 / In Person £1195
A comprehensive 2 hour clinical assessment which covers a full bio-psychosocial history together with collateral information from friends and family. This meets the NICE/UKAAN guidelines for a gold standard assessment, including the DIVA, developmental history alongside pre screening questionnaires.
If we do think you have a diagnosis of ADHD you will receive a report confirming the diagnosis, a treatment plan, psycho education and initial prescription (if medication is required) within 7-10 days.
Following the initial assessment some patients will choose to consider a pharmacological option (medication). The titration process generally takes between 3-4 follow up appointments and prescriptions. In some cases we may ask you to have an ECG (tracing of your heart) or blood tests done as a baseline before we can safely commence treatment.
Once a patient is stable on their medication they can apply for shared care with their GP to take over their prescribing. Please be aware that not all GPs will accept shared care and patients are encouraged to check before they consider this pathway.
Alternatively we can continue to manage your care at the Somerville clinic. This would require 6 monthly reviews with us and a fee for repeat prescriptions made outside of clinic appointments.
Please see below for ADHD Medication Titration Appointments.
Attention Deficit Hyperactivity Disorder Children (CAMHS)
Remote £1,450
A two hour comprehensive assessment for ADHD undertaken by Dr Hollie Hearfield who is a specialist CAMHS psychiatrist with particular expertise in the presentation of ADHD in girls. She follows NICE/UKAAN guidelines to offer a rigorous ADHD assessment which allows a broader review of other mental health considerations, psychoeducation, a full report and treatment options and titration of medication if required.
Our Autism assessments follow the RCPsych/NICE guidance to include an in depth clinical review lasting up to 3 hours, alongside a structured assessment (ADOS informed), developmental and collateral information alongside a multi disciplinary team (MDT) discussion for more complex cases. We are particular experts at recognising complex presentations with overlap with other clinical areas such as complex trauma, ADHD and hormonal health. Our assessments focus on women who have a history of high masking and have not had their mental health presentations fully understood.
Many patients choose to come back for a follow up appointment to discuss their diagnosis and particular needs.
We offer a 45 minute focused clinical assessment for patients experiencing short term or chronic insomnia. We can support with developing holistic treatment pathways including lifestyle support, medication optimisation and CBT-I referrals.
A 20 minute consultation to check on the progress of ADHD medication titration. BP, Pulse and weight need to be provided at each review. Repeat prescription included.
We offer a 45 minute assessment for patients who have a previous diagnosis of ADHD who wish to explore suitability for starting ADHD medication or would like a review of their current ADHD medication prescription. This requires patients to share their assessment report, confirming their ADHD diagnosis with us prior to booking this review. This report must have been made by a qualified professional and made within the previous 1-2 years. We will then be able to discuss treatment options and initiate medication where appropriate. Ongoing reviews of medication will be managed via 20 minute ADHD medication titration appointments thereafter.
We offer 30 minute clinical reviews to existing patients of the Somerville Clinic as a follow up to their ongoing care needs. These can include any aspect of their care including medication and ongoing mental health symptoms and management.
We offer a 45 minute clinical reviews to existing patients of the Somerville Clinic as a follow up to their ongoing care needs. These can include any aspect of their care including medication and ongoing mental health symptoms and management.
We offer 60 minute reviews for existing patients of the Somerville Clinic as a follow up to their ongoing care needs. These can include any aspect of their care including medication and ongoing mental health symptoms, diagnoses and management.
£30
Once you have been stabilised on treatment for ADHD we can request that your ADHD medication and follow up care is transferred back to your NHS GP. This requires us to write a report requesting 'Shared Care' to your GP. The cost of this letter and us sending it to your GP is £150. Please be advised that not all GPs will accept the ongoing management of your medication for your ADHD and we advise that you discuss this with them. Most GPs will request that you are reviewed every 6 months by an ADHD specialist to check your treatment needs alongside them taking over responsibility for prescribing.
Occupational Therapy Assessment
Comprehensive Occupational Therapy Assessment to identify areas of challenge and/or barriers to occupational engagement and participation. This includes between 2-3 hours of assessment at your home to establish what aspects of daily living activities you might be struggling with and why. This may include observation during a practical task such as preparing a meal. This assessment may be helpful for people who are finding it difficult to cope with the demands of daily life. For example, those who have difficulty accessing certain environments, such as the workplace or supermarkets, or who struggle with executive functioning tasks such as task initiation, sequencing, and planning. It may also benefit those who have difficulty establishing and maintaining a routine or who are struggling to transition towards living independently from family and/or carers.
Following the assessment, you will receive a written OT report that includes recommendations and a 30-minute remote feedback session to discuss the recommendations.
If you would like a free 15 minute call to discuss your suitability for an assessment please contact us.
Sensory Integration Assessment
If clinically indicated, you will have the option £375 (in addition to Occupational Therapy) of adding on an assessment of your sensory processing and integration. The Occupational Therapist will let you know if this is recommended.
This is an in-depth assessment of your sensory integration and processing to identify the suspected patterns of sensory processing and offer specific recommendations for intervention.
This includes a combination of developmental history, standardised assessments, and sensory integration clinical observations. This assessment might be indicated if you have difficulty tolerating everyday sensory input such as noise, lighting, textures or busy environments, managing sensory overload, seeking out or noticing sensory information, regulating your emotions, energy, or attention in response to sensory experiences, or coordinating movement, and if these differences affect your participation in daily activities such as self-care, eating, dressing, work or social situations.
Following this add-on assessment, the feedback and recommendations for intervention/strategies will be included in your report and feedback session.
Occupational Therapy Intervention
Intervention sessions with the Occupational Therapist to work towards goals that are meaningful and important to you. These sessions may be guided by the recommendations identified in your Occupational Therapy assessment and could focus on:
Building meaningful and manageableroutines.
Developing strategies to manage the demands of daily living tasks (cooking, shopping, working, leisure).
Establishing better balance of productive, leisure, and self-care activities.
Building confidence and independence in activities that are important to you.
Exploring interests and developing meaningful leisure occupations.
Supporting emotional and nervous system regulation, including recognising signs of overwhelm and developing strategies to manage these.
Understanding your sensory needs and developing practical strategies to help you feel more comfortable in different environments.
Environmental adaptations to make everyday activities more accessible and manageable.
Ayres Sensory Integration® (ASI) therapy where appropriate (a specialist occupational therapy approach that uses individualised, meaningful, sensory and movement- based activities to support the way the nervous system processes and integrates sensory information).
*Depending on the focus of the sessions, some can be completed remotely, others will
need to be in-person, please discuss with theOccupational Therapist*
