One of the most common questions about telepsychiatry is whether you can actually get medication from a video appointment. The short answer is yes – where it is clinically appropriate and safe.
Prescribing is a clinical decision, not a purchase
Booking a consultation doesn’t guarantee a prescription. Your psychiatrist will first carry out a full assessment and then discuss the options with you. Sometimes medication is the right choice; sometimes talking therapy, lifestyle changes or simply watchful waiting is better. Often it’s a combination.
If medication is recommended, your psychiatrist will explain:
- what the medicine is for and how it works;
- how and when to take it;
- common side effects and what to do if they happen;
- how long before you might notice a benefit;
- when it will be reviewed.
What you’ll pay
With Happy Clinic, prescriptions issued during an assessment or follow-up appointment are included in the appointment fee. You pay the pharmacy for the medicine itself, as with any private prescription, and pharmacy charges vary.
Existing patients who are stable on treatment can request a repeat prescription without a full appointment (currently £150), subject to the clinician agreeing it’s appropriate. See the fees page for current prices.
Private prescriptions and the NHS
A prescription from a private psychiatrist is a private prescription, so NHS prescription charges and exemptions don’t apply to it. Many people therefore ask their GP to take over prescribing once treatment is established.
GPs are not obliged to take over private prescribing, but they often will for commonly used medicines once a clear recommendation has been made. For some specialist medicines, particularly ADHD medication, this is done through a formal shared care agreement – see our guide to shared care with your GP.
Medicines that need extra care
Some medicines need more monitoring. ADHD stimulants, for example, are controlled drugs and are only started after a thorough assessment, with physical health checks such as blood pressure, pulse and weight, and a period of dose adjustment (“titration”) with regular reviews. Some mood stabilisers require blood tests. Your psychiatrist will explain what’s needed and whether any checks can be done locally.
Keeping it safe
To prescribe safely, your psychiatrist needs an accurate picture. Be open about:
- all current medicines, including over-the-counter, herbal and recreational substances;
- alcohol use;
- physical health conditions, pregnancy or plans for pregnancy;
- previous reactions to medication.
With your consent, a summary will be sent to your GP so your medical record stays complete – an important safety step when more than one doctor is involved in your care.
Want to discuss medication options? Book an assessment.
This article is general information, not personal medical advice. If you are worried about your mental health, speak to a doctor. In a crisis call 999 or NHS 111.
Ready to talk to a psychiatrist?
Book a secure video consultation with Happy Clinic. No referral needed, and appointments are often available within a few days.