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Therapeutic Psychiatry London

Our Approach: Therapeutic Psychiatry

At London Trusted Therapy Harley Street, psychiatric care is not a separate track, a referral-on, or an afterthought. Our longstanding psychiatric partners and our therapists communicate directly, coordinate care openly, and approach each patient from a shared understanding of their history, their goals, and what they need to recover and flourish. Our patients describe this integration as the difference that makes the difference. It is, regrettably, still rare in private practice — and it is at the heart of what we offer.
Private psychiatric appointments are available without a GP referral, typically within days. We work with adults and young people experiencing the full range of psychiatric conditions — from a single comprehensive assessment to longer-term collaborative management alongside ongoing therapy.

Expert private psychiatric care at Harley Street — with seamless collaboration between your psychiatrist and therapist from day one. No GP referral needed. No waiting list.

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Our Therapeutic Psychiatry Reviews

4.86 rating based on Doctify, Google and Trustpilot reviews

A N

  • 2025-11-20
Honestly, I'd been struggling with my drinking and anxiety for ages but kept putting off getting help. Best decision I ever made was reaching out to London Trusted Therapy. Dr Popelyuk diagnosed me with AUD and was absolutely brilliant - no judgement, just genuine understanding and a proper plan to help me get better. He's been managing my medication and treatment, and I actually feel like I'm making progress for the first time in years. What's made the biggest difference though is having Dr Popelyuk working alongside Tina, my therapist at London Trusted Therapy. They're properly in sync - Tina helps me work through the anxiety and underlying stuff, whilst Dr Popelyuk sorts the medical side. They actually talk to each other, which sounds obvious but you'd be surprised how rare that is! I don't feel like I'm juggling different appointments with people who don't know what the other one's doing. It's all joined up, and that's made such a difference to my recovery. I'm not "fixed" yet but I'm in a completely different place than I was six months ago. If you're on the fence about getting help, just do it. This team knows what they're doing.

M K

  • 2025-07-11
Our son has been through an incredibly difficult time with substance use, anxiety, depression, and BPD. As parents, we felt completely out of our depth and didn't know where to turn. Finding London Trusted Therapy and Dr Popelyuk has honestly saved our child's life. Dr Popelyuk has been managing the psychiatric side with such skill and compassion - he treats our teenager with respect, not judgement, which has been crucial in getting them to actually engage with treatment. Dr Olena has been an absolute godsend as our child's therapist. She genuinely "gets" teenagers and has managed to build trust with our son/daughter in a way we didn't think was possible. The fact that she and Dr Popelyuk work so closely together means nothing falls through the cracks. It's not been easy - recovery never is - but for the first time in years we feel hopeful. Our child is actually going to appointments, taking their medication, and slowly starting to open up. The collaborative approach between the psychiatrist and therapist has been absolutely key. If your teenager is struggling, please don't wait like we did. This team knows how to help young people in crisis.

D M

  • 2025-06-19
I cannot recommend Dr Popelyuk and Popelyuk Adult Psychiatry highly enough. After struggling with ADHD symptoms for years, I was finally able to get an assessment with no waiting time, which was a huge relief when I needed help urgently. Dr Popelyuk was thorough, compassionate, and incredibly knowledgeable throughout the assessment process. He took the time to understand my individual situation and prescribed medication that has genuinely improved my quality of life. What really stood out was the seamless collaboration between Dr Popelyuk and my therapist at London Trusted Therapy. Having my prescribing psychiatrist and therapist working together to manage my symptoms has been transformative. They communicate effectively, ensuring my treatment is holistic and well-coordinated, rather than fragmented between different providers. This integrated approach has made such a difference - I feel genuinely supported and my care feels joined-up rather than dealing with separate practitioners who don't talk to each other. If you're looking for ADHD assessment and treatment with excellent collaborative care, I highly recommend this partnership.
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What Is Therapeutic Psychiatry? — The Vision Behind the Term

  • The term Therapeutic Psychiatry was coined by Dr Olena Edwards-Skadowska PhD, MA (Psych and Linguistics), BACP Accredited, MBSSM, FMBPsS — founder and clinical director of London Trusted Therapy Harley Street. It emerged not from a theoretical position but from years of hands-on clinical experience: working in tandem with independent consultant psychiatrists, observing what happened to patients when their psychological and psychiatric care was coordinated — and what happened when it was not.
  • Over more than two decades of practice, Dr Olena noticed a consistent pattern. Patients receiving both therapy and psychiatric input, from professionals who communicated and understood each other's approach, made markedly better progress than those whose care was fragmented between practitioners who had never spoken. The insight was not abstract — it was visible in outcomes, in the pace of recovery, and in the resilience patients demonstrated once their care was genuinely integrated. Therapeutic Psychiatry became her term for the model she had been building in practice long before it had a name.

‘I have spent over twenty years working alongside psychiatrists I trust — watching what happens when two disciplines work as one. Therapeutic Psychiatry is not a concept I invented at a desk. It is what I observed working in the lives of real patients, again and again.’
— Dr Olena Edwards-Skadowska, PhD, MA (Psych and Linguistics), BACP Accredited, MBSSM, FMBPsS

  • The model she developed is built on a deceptively simple principle: that psychiatry and psychotherapy address different but inseparable dimensions of the same human experience, and that treating them as separate professions with separate conversations and separate goals will always produce a lesser result than treating them as partners in a shared clinical endeavour. Today, London Trusted Therapy formalises what Dr Olena has practised throughout her career — ensuring that every patient who engages with both psychiatric and therapeutic support at LTT benefits from genuine, structured collaboration between their care providers, from day one.
  • The scientific evidence has continued to accumulate in support of this approach. A landmark systematic review and network meta-analysis published in The Lancet Psychiatry in December 2025 — analysing 76 randomised controlled trials — found that gradual tapering of antidepressants combined with psychological support is as effective as remaining on medication for preventing relapse in depression. Critically, the review found that psychological support consistently improved outcomes across all tapering strategies — and that slow tapering without psychological support was no better than abrupt discontinuation. In other words, the therapy is not an adjunct to the medication plan. It is what makes the medication plan work.

Reference: Zaccoletti D, Mosconi C, Gastaldon C, et al. Comparison of antidepressant deprescribing strategies in individuals with clinically remitted depression: a systematic review and network meta-analysis. The Lancet Psychiatry. Published online December 10, 2025. doi:10.1016/S2215-0366(25)00330-X

Do I Need Psychiatry, Therapy or Both?

This is one of the questions we are asked most frequently — and it is entirely understandable. The boundary between psychological and psychiatric care is not always obvious, even to professionals. Here is a practical guide to help you think it through.

You may benefit primarily from therapy if:

  • Your difficulties feel connected to specific experiences, relationships or patterns of thinking and behaving
  • Your symptoms, while distressing, are not significantly impairing your ability to function day to day
  • You have not yet tried therapy or have not worked with a therapist who specialises in your specific area of difficulty
  • You are seeking deeper self-understanding rather than symptom management
Psychiatric assessment is likely to add significant value if:
  • Your symptoms are severe, persistent or significantly affect your ability to work, maintain relationships or care for yourself
  • You are experiencing symptoms that may have a biological component — such as extreme mood episodes, psychotic experiences, severe or unremitting anxiety or disordered sleep
  • Previous therapy has not produced the improvement you hoped for — a psychiatric assessment can clarify whether there is an underlying condition affecting your response to therapy
  • You are taking or have been prescribed, psychiatric medication and want specialist review and management
  • You or someone supporting you suspects ADHD, autism or another neurodevelopmental condition that may be underpinning your difficulties
  • You are considering coming off psychiatric medication and want a supported, evidence-based plan for doing so safely
Integrated care — both together — is often the most effective approach when:
  • Your presentation is complex, long-standing or involves more than one co-occurring condition
  • You have tried either therapy or medication alone and found that progress plateaued
  • You are managing conditions such as bipolar disorder, PTSD, BPD, OCD or addiction — which consistently show better outcomes with combined treatment
  • You want the security of a joined-up team who communicate openly and know your full picture
  • You are planning to taper psychiatric medication and want robust psychological support to maximise the chances of a successful, lasting outcome

At London Trusted Therapy Harley Street, you do not have to choose. Whether you come initially for therapy, for a psychiatric assessment or for both simultaneously, our team will work with you to establish the most effective approach — and coordinate it across disciplines from the outset.

Our Psychiatric Partners

The psychiatrists who work with London Trusted Therapy are not a roster of names on a directory. They are clinicians with whom Dr Olena Edwards-Skadowska and the LTT team have developed genuine, long-standing clinical relationships — built over years of working together on complex cases, navigating difficult presentations side by side and refining the collaborative model that defines Therapeutic Psychiatry in practice.

Each psychiatric partner was chosen not only for their clinical credentials — which are exceptional — but for their shared commitment to genuine collaboration, their absence of professional ego and their belief that integrated care produces better outcomes for patients than any single discipline can achieve alone. They are colleagues in the truest sense, not contractors.

All LTT psychiatric partners are GMC-registered consultant psychiatrists with extensive NHS and private practice experience. When you engage with psychiatric services at London Trusted Therapy, you benefit from both their individual expertise and from the relationships, communication channels and shared clinical culture that years of working together have built.

Dr Dmitri Popelyuk — Consultant Psychiatrist, Founding CEO of Popelyuk Adult Psychiatry

Dr Popelyuk is a consultant psychiatrist with extensive experience in general adult psychiatry, including ADHD, mood disorders, anxiety, personality disorders and substance use. He is the founding CEO of Popelyuk Adult Psychiatry, based at Harley Street, and has worked in close clinical collaboration with Dr Olena and the London Trusted Therapy team across a wide range of complex cases. Patients consistently highlight his combination of clinical precision, thoroughness and the quality of human presence he brings to assessments — the sense of being understood as a whole person, not a set of symptoms.

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Dr Tim Ojo — Psychiatrist, Organisational Consultant, Executive Coach

Dr Tim Ojo brings a distinctive range of expertise spanning psychiatry, organisational consultancy and executive coaching — making him particularly well-placed to support professionals, executives and those whose mental health difficulties have significant occupational dimensions. He works across mood disorders, anxiety, leadership stress and the complex intersection of high-performance environments and psychological wellbeing, and has been a valued clinical collaborator with the LTT team across this specialist area of practice.

In addition to these named partners, London Trusted Therapy works with a select group of independent consultant psychiatrists whose expertise, values and approach meet our exacting standards for clinical collaboration. Please contact us to discuss which of our psychiatric partners would be the best fit for your specific situation.

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Conditions We Treat

Depression is one of the most common reasons people seek private psychiatric care, yet it is also one of the most under-treated — partly because it is so frequently misunderstood as a failure of willpower rather than a clinical condition with identifiable neurobiological features. Our partner psychiatrists have extensive experience treating the full spectrum of depressive presentations: persistent low-level dysthymia, major depressive episodes, treatment-resistant depression, and depression occurring in the context of other conditions such as bipolar disorder, chronic pain, or neurodivergence.

Assessment goes beyond a symptom checklist. Your psychiatrist will explore your complete history, the specific character of your depression, and any previous treatments that have or have not helped — before making personalised recommendations that may include medication, a specific therapeutic approach, or both. For those who are stable and considering coming off antidepressants, our integrated model provides exactly the kind of coordinated psychological and psychiatric support that the evidence consistently shows produces the best outcomes for tapering.

Anxiety disorders — including generalised anxiety disorder, panic disorder, social anxiety, health anxiety, and obsessive-compulsive disorder — respond well to a combination of psychiatric understanding and skilled therapeutic intervention. Where anxiety is severe, disabling, or has not responded to therapy alone, psychiatric assessment can identify whether there is an underlying biological component, review any previous medication, and recommend a pharmacological approach alongside ongoing therapy.

We are particularly experienced in working with anxiety that presents alongside neurodevelopmental conditions — ADHD and autism are both associated with significantly elevated rates of anxiety, and treating the anxiety without addressing the neurodevelopmental context often produces limited results. Our integrated team holds both dimensions simultaneously.

Bipolar disorder requires specialist expertise, long-term management, and a level of clinical continuity that is difficult to achieve without a joined-up care team. Our partner psychiatrists bring specific experience in mood stabilisation — the careful, evidence-based management of medication regimens designed to reduce the frequency and severity of episodes while minimising side effects and supporting quality of life.

Effective care for bipolar disorder also has a significant psychoeducational and therapeutic component. Understanding your own patterns, recognising early warning signs, managing the impact of the condition on relationships and work, and addressing the psychological consequences of previous episodes — this is work that therapy provides, in collaboration with ongoing psychiatric oversight. The combination, coordinated between your psychiatrist and therapist, is consistently more effective than either discipline working in isolation.

Post-traumatic stress disorder and complex trauma benefit significantly from psychiatric treatment that addresses both the neurobiological impact of trauma and its psychological dimensions. Our partner psychiatrists work in close collaboration with our trauma-trained therapists — ensuring that any pharmacological support is appropriately calibrated to the therapeutic work taking place, and that the overall care plan supports rather than undermines the recovery process.

For PTSD specifically, the evidence for combined treatment — medication to reduce hyperarousal and intrusive symptoms, alongside trauma-focused therapy such as EMDR or trauma-focused CBT — is well-established. Our integrated model is designed precisely to support this kind of coordinated, complementary care.

Personality disorders — including borderline (emotionally unstable) personality disorder, narcissistic personality disorder, and others — are among the most complex presentations in psychiatry and psychology. They require a careful, stable, and coordinated approach. Our partner psychiatrists bring compassion and clinical realism to these presentations — working without stigma, and with a clear understanding that behind every diagnosis is a person whose difficulties make complete sense in the context of their history.
Psychiatric support for personality disorders typically involves careful assessment and formulation, targeted pharmacological support for specific symptoms, and close coordination with a therapist skilled in approaches such as DBT, schema therapy, or psychodynamic work. Our team is experienced in providing exactly this kind of coherent, joined-up care.

Addiction and problematic substance use almost always co-occur with other mental health difficulties — anxiety, depression, PTSD, ADHD, or early trauma — and addressing only the substance use without treating the underlying conditions typically produces limited, fragile recovery. Our approach to addiction psychiatry is built on this understanding: comprehensive assessment of the full clinical picture, medical management of withdrawal and cravings where appropriate, and close coordination with the therapeutic team addressing the psychological drivers of use.

Our partner psychiatrists are experienced in the management of alcohol use disorder, opioid dependency, cannabis-related presentations, and complex poly-substance use patterns that often accompany significant mental health difficulties. Care is delivered without judgement, with full respect for where each person is in their recovery journey, and with a long-term view of sustainable recovery.

Obsessive-compulsive disorder is frequently under-diagnosed and under-treated — often because it presents differently from the stereotyped picture, and because sufferers are frequently ashamed of the content of their obsessions. Our partner psychiatrists bring specific expertise in the assessment and treatment of OCD across its full range of presentations, including intrusive thoughts, harm obsessions, relationship OCD, and the pure ‘O’ presentations that involve no visible compulsions.

Evidence-based treatment for OCD typically involves a combination of an SSRI at therapeutic doses alongside exposure and response prevention (ERP) therapy. Our integrated model allows the medication and therapeutic components to be coordinated precisely, with your psychiatrist and therapist working from the same formulation.

The perinatal period — pregnancy and the year following birth — is one of the highest-risk periods for the onset or recurrence of psychiatric difficulties. Postnatal depression, perinatal anxiety, birth trauma, postpartum psychosis, and the exacerbation of pre-existing conditions during or after pregnancy are all areas of specialist clinical concern. Medication decisions during and after pregnancy require careful consideration of both clinical need and specific risk profile — this is not territory for generalist management.

Our partner psychiatrists have experience in perinatal mental health assessment and management, working in collaboration with maternity services, GPs, and therapists to provide safe, evidence-based care for mothers and birthing parents at one of the most vulnerable and significant periods of their lives.

ADHD and autism are among the most common reasons for psychiatric assessment in adults, and both are significantly under-diagnosed — particularly in women, in people from non-white backgrounds, and in those whose presentations don’t match the stereotyped picture. Receiving an accurate diagnosis as an adult can be transformative: it reframes a lifetime of apparent failure, opens access to appropriate support, and makes targeted treatment possible.

Our partner psychiatrists work closely with our specialist assessment team — including our ADHD Complete service using QbCheck objective testing, and our Autism Complete service using the ADOS-2 gold-standard diagnostic tool. Psychiatric involvement may include pre-assessment consultation, medication management following diagnosis, or ongoing support where ADHD or autism co-occurs with other conditions such as anxiety, depression, or trauma.

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The Power of Integrated Care — Evidence and Experience

  • One of the most consistent findings in mental health research is that for many conditions — particularly complex, chronic, or treatment-resistant presentations — the combination of psychiatric care and psychological therapy produces significantly better outcomes than either alone. This is not a contested position. It is well-established, widely cited, and still remarkably rarely acted upon in clinical practice.
  • The obstacle has always been structural. In most private practice settings, psychiatrists and therapists operate independently — different clinics, different systems, different professional cultures. The patient becomes the carrier of information between their care providers, responsible for conveying observations from one to the other, for bridging conceptual gaps, and for navigating a fragmented system with a mind that is already under significant strain.
At London Trusted Therapy, your psychiatrist and therapist are on the same team. They communicate. They coordinate. They know your story. The integration is not incidental — it is the founding principle of our model, and it was built on more than twenty years of clinical experience watching what happens when it works.
  • The Lancet Psychiatry's December 2025 meta-analysis on antidepressant tapering brought into sharp focus what Dr Olena Edwards-Skadowska had observed throughout her career: that it is not the medication alone, and not the therapy alone, but the quality of the collaboration between them that determines outcome. Psychological support did not merely complement the tapering process in this research — it was what made gradual tapering work at all. Without it, even the most carefully managed dose reduction produced results no better than simply stopping.
  • This is the principle Therapeutic Psychiatry was designed to operationalise. Not psychiatry that happens to refer to therapy. Not therapy that occasionally liaises with a psychiatrist. A genuine clinical partnership, built on relationships, trust, and shared purpose — from the first appointment to the last.

What to Expect from Psychiatric Care at London Trusted Therapy

You do not need a GP referral to access private psychiatric care at London Trusted Therapy. You can contact us directly — by phone, email, or through our website — and we will arrange an initial appointment, typically within days. If you are already working with a therapist at LTT, we can discuss whether psychiatric involvement would strengthen your care. If you are new to us, we will take time to understand your situation and ensure you see the most appropriate consultant.
A thorough psychiatric assessment is the foundation of everything that follows. Your first appointment with one of our consultant psychiatrists is not a box-ticking exercise — it is a detailed, unhurried conversation. Your psychiatrist will take time to understand your complete history: medical, psychological, developmental, and social. They will explore your current symptoms in depth — when they began, what makes them better or worse, and how they affect your daily life, relationships, and work. Previous mental health treatment, including any medication you have tried, will be reviewed carefully.
Many people arrive at their first psychiatric appointment apprehensive — worried about being labelled, dismissed, or judged. Our partners work in a way that is specifically designed to disconfirm those fears. You will be listened to with genuine attention, met with compassion, and given the time and space to tell your story fully. Many patients describe the assessment itself as therapeutic — the experience of being properly heard, often for the first time.
Following assessment, your psychiatrist will share their diagnostic impressions with you — always in plain language, always as a collaborative conversation rather than a pronouncement. Modern psychiatric diagnosis is not about labelling; it is about understanding. A diagnosis helps explain your experience, guides treatment decisions, and can bring significant relief through the validation that what you are feeling is real, recognisable, and treatable.
Where appropriate, your psychiatrist will develop a formulation — a personalised narrative of why you are struggling in the way you are, integrating your biological, psychological, and social history. This formulation forms the basis of a coordinated treatment plan and — critically — is shared with your therapist when you are working with both.
Medication is not right for everyone, and our partner psychiatrists will never recommend it lightly or routinely. Where medication is recommended, it is always on the basis of a careful clinical assessment, a clear explanation of how it works and what you might expect, and a genuine conversation about alternatives. You have the right to accept, decline, or request alternatives to any recommended treatment. Medication decisions are collaborative — not things that happen to you.
When medication is helpful, it can be genuinely transformative. Antidepressants, properly selected and dosed, can lift the weight of depression enough to allow genuine therapeutic work to begin. Mood stabilisers can reduce the devastating disruption of bipolar episodes. Medication for ADHD can restore the focus and executive function that allow a person to begin fully participating in their own life.
From the outset, our approach includes planning not just for starting medication but for what comes after — including, where appropriate, a supported pathway to tapering and discontinuation. This is not a clinical afterthought. A landmark systematic review and network meta-analysis published in The Lancet Psychiatry in December 2025 — the largest and most rigorous analysis of antidepressant deprescribing strategies to date, examining 76 randomised controlled trials — found that gradual tapering of antidepressants with psychological support is as effective as remaining on medication for preventing relapse. The review also found that psychological support improved outcomes across all tapering strategies, and — critically — that slow tapering without psychological support was no better than abrupt discontinuation.

The evidence is clear: successfully coming off psychiatric medication is not primarily a matter of tapering speed. It is a matter of having the right psychological support in place. This is precisely what our integrated model provides.

At London Trusted Therapy, if and when you reach the point of considering medication discontinuation, you will not be doing so without a plan. Your psychiatrist will manage the tapering process with clinical precision; your therapist will provide the psychological support that the evidence shows makes the decisive difference. The two work together — as they have from the beginning of your care.
Reference: Zaccoletti D, Mosconi C, Gastaldon C, et al. Comparison of antidepressant deprescribing strategies in individuals with clinically remitted depression: a systematic review and network meta-analysis. The Lancet Psychiatry. Published online December 10, 2025. doi:10.1016/S2215-0366(25)00330-X
Following an initial assessment and treatment plan, your psychiatrist will see you for follow-up appointments to review progress, monitor medication if prescribed, and adjust the approach as needed. The frequency of follow-up depends entirely on your clinical needs.
Where you are also working with a therapist at London Trusted Therapy, your psychiatrist and therapist will liaise directly (with your consent), ensuring that your care is genuinely joined-up. Progress is shared, approaches are coordinated, and the gap between the biological and psychological dimensions of your treatment is actively bridged — because, in our model, there is no gap to bridge.

95% of our clients report positive treatment outcomes and would recommend us to family and friends

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Who Benefits from Psychiatric Support?

Psychiatric care is not only for people in crisis. It is for anyone whose mental health difficulties are complex enough, persistent enough, or severe enough to benefit from expert medical assessment and management — alongside, or in preparation for, psychological work. People come to us from many starting points:
  • Those who have been on NHS waiting lists for months and cannot continue to wait
  • Those who have tried therapy before but found progress plateaued — and want to understand whether there is a psychiatric dimension to their presentation
  • Those who have been prescribed psychiatric medication by their GP and want specialist review, ongoing management, and integration with their therapy
  • Those who suspect ADHD, autism, bipolar disorder, or another condition that has not yet been formally assessed
  • Those with complex or long-standing presentations — personality difficulties, trauma histories, addiction — who recognise that they need a joined-up team, not a single practitioner working in isolation
  • Those who are stable on medication and want a supported, evidence-based plan for gradually reducing or discontinuing it — with both the psychiatric and psychological dimensions of that process actively managed
  • Professionals and executives whose mental health difficulties have a significant occupational dimension and who want discretion, expertise, and flexibility
  • Family members seeking guidance on how best to support a loved one, or on how to access psychiatric care for a young person or family member who is struggling

If you are uncertain whether psychiatric input is right for you, the simplest step is to contact us for a conversation. Our clinical team will help you think through the most appropriate starting point — without pressure, without presumption, and without obligation.

A Holistic, Person-Centered Approach

  • What distinguishes our psychiatric partners is their commitment to whole-person care. They understand that you are not your diagnosis—you are a complex individual with unique strengths, values, relationships, and life circumstances. Effective psychiatric care honours this complexity, considering not just symptoms but your overall quality of life, functioning, and wellbeing.
  • This holistic approach means considering lifestyle factors that support mental health: sleep, nutrition, exercise, stress management, and social connection. It means respecting your autonomy and involving you fully in treatment decisions. It means recognising the impact of social determinants of health — work stress, financial pressures, relationship difficulties, discrimination or other life circumstances — on mental wellbeing.

Our Therapeutic Approaches

Why Choose London Trusted Therapy for Private Psychiatric Care?

  • The Therapeutic Psychiatry model — coined by Dr Olena Edwards-Skadowska and built over more than two decades of clinical practice — places genuine psychiatrist-therapist collaboration at the centre of everything
  • Long-standing partner psychiatrists — not a referral directory, but clinicians with whom our team has built years of successful clinical relationships
  • Integrated tapering support — when the time comes to consider reducing medication, we provide both the psychiatric management and the psychological support that research shows makes the difference
  • No waiting list — private psychiatric appointments typically available within days of your first contact
  • No GP referral needed — self-refer directly by phone, email, or through our website
  • GMC-registered consultant psychiatrists with extensive NHS and private practice experience
  • Holistic, whole-person assessment — going beyond symptom checklists to understand your complete history
  • Specialist expertise in complex presentations: bipolar disorder, BPD, PTSD, addiction, OCD, perinatal mental health
  • Seamless integration with ADHD Complete and Autism Complete assessment services under one roof
  • Psychiatry for teenagers and young people — in close coordination with our specialist adolescent team
  • In-person appointments at our Harley Street consulting rooms, with online options available
  • Transparent fees — always discussed fully before treatment begins, no hidden costs
  • LGBTQ+ affirming and inclusive of all identities, backgrounds and family structures

Ready to Begin? Book a Private Psychiatric Assessment at Harley Street

You do not need a waiting list, a GP letter, or a referral to access expert private psychiatric care. You need a phone call, an email, or a few moments on our booking form. Our clinical team will respond promptly, listen carefully, and ensure you see the right consultant for your situation — typically within days.
Whether you are seeking a comprehensive first assessment, a second opinion on a previous diagnosis, medication review and management, integrated psychiatric and therapeutic care, or a supported plan for coming off medication — we are here, and we are ready to help.
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Frequently Asked Questions

No. Private psychiatric care at London Trusted Therapy requires no GP referral. You can contact us directly and we will arrange an appointment, typically within days. If collaboration with your GP is helpful — to share assessment findings or coordinate care — we are happy to work alongside them, but this is your choice, not a prerequisite.

A psychiatrist is a medically qualified doctor who has completed specialist training in mental health. They can diagnose psychiatric conditions, prescribe and manage medication, and provide medical assessment of complex presentations. A therapist or psychotherapist works primarily through psychological talking approaches — helping you understand and change patterns of thinking, feeling, and behaving, process past experiences, and develop new ways of relating to yourself and others. Neither discipline is superior — they address different but complementary dimensions of mental health. The most effective care for many conditions involves both, working in coordination. At London Trusted Therapy, that coordination is built into the model from the outset.

At London Trusted Therapy, private psychiatric appointments are typically available within days of your first contact. We do not operate a waiting list for initial appointments. If you are in significant distress or experiencing a clinical emergency, please contact us directly and explain the level of urgency. If you are in immediate crisis, please contact 999 or your nearest A&E.
Psychiatric services at London Trusted Therapy are delivered by our partner consultant psychiatrists — specifically, clinicians with whom our founder, Dr Olena Edwards-Skadowska, and our wider team have built long-standing clinical relationships over many years of successful collaboration. Our named primary psychiatric partners are Dr Dmitri Popelyuk (Consultant Psychiatrist, Founding CEO of Popelyuk Adult Psychiatry) and Dr Tim Ojo (Psychiatrist, Organisational Consultant, Executive Coach), together with other carefully selected independent consultant psychiatrists. All are GMC-registered with extensive NHS and private practice experience. The distinguishing feature of our psychiatric partnerships is not simply the credentials involved — it is the quality of the clinical relationships and the genuine integration of their work with our therapeutic team.
Yes. Our partner consultant psychiatrists are GMC-registered and fully authorised to prescribe psychiatric medication privately in the UK. Where medication is recommended following assessment, they will explain the rationale, the expected effects and timeline, potential side effects, and the monitoring arrangements. Repeat prescriptions can be managed through follow-up appointments, which can often be conducted online for convenience once initial care is established.
Yes — and this is an area where our integrated model is particularly valuable. A systematic review and network meta-analysis published in The Lancet Psychiatry in December 2025 — the largest analysis of antidepressant tapering strategies to date — found that gradual dose reduction with psychological support is as effective as remaining on medication for preventing relapse, and that psychological support consistently improved outcomes across all tapering strategies. Our partner psychiatrists can design and oversee a careful, individualised tapering plan, while your therapist provides the psychological support that the evidence shows is critical to a successful outcome. This is not something we recommend attempting without both dimensions of support in place.
A private psychiatric assessment is an in-depth conversation — typically 60 to 90 minutes for an initial appointment. Your psychiatrist will explore your current difficulties in detail, your personal and family history, any previous mental health treatment, your physical health, sleep, and lifestyle, and any significant life stressors. The aim is to understand you as a whole person. Following the assessment, your psychiatrist will discuss their impressions with you and, where appropriate, recommend a diagnosis and personalised treatment plan. You will have the opportunity to ask questions and express any concerns throughout.
Therapeutic Psychiatry is the term coined by Dr Olena Edwards-Skadowska PhD, MA (Psych & Linguistics), BACP Accredited, MBSSM, FMBPsS — founder of London Trusted Therapy Harley Street — to describe an integrated model of care in which psychiatric expertise and psychotherapeutic support are delivered in genuine collaboration — not as parallel tracks by professionals who never communicate, but as a coordinated, coherent team around the patient. The term reflects more than twenty years of clinical experience working in tandem with independent psychiatrists, and the consistent observation that integrated care produces better outcomes for patients than fragmented care — regardless of the quality of the individual clinicians involved.

Private psychiatric fees vary depending on the clinician’s seniority, the nature of the assessment, and the duration of appointments. We are always transparent about fees before you book — there are no hidden costs, and we will not begin a course of treatment without discussing the financial commitment clearly. Please visit our Fees page or contact us directly for current pricing.

Many private health insurance policies cover psychiatric assessment and treatment, though the extent of coverage varies significantly between insurers and policies. Some policies require a GP referral for insurance purposes even if one is not clinically necessary. We recommend contacting your insurer before booking to confirm your coverage and any referral requirements. We can provide the documentation your insurer needs following your assessment.

Yes — and at London Trusted Therapy, this is not only possible but actively encouraged. Having your psychiatrist and therapist within the same clinical network, with a shared commitment to coordination and years of established working relationships between them, is one of the most significant advantages we offer. It reduces the burden on you as the patient, ensures nothing is missed between disciplines, and produces the kind of genuinely coherent care that makes the biggest difference in complex cases.

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Our Quality Guarantee

Should you feel that your first session did not meet your expectations or that your therapist wasn’t a good fit, we will provide another session completely free of charge with a different practitioner.

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Supported Insurance

We are proud to work in partnership with major UK and global insurers, as an approved mental health provider, supporting various clients in their therapy journey around the globe.

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