Insurance Therapy
About Fettle
Help & Info
Recently diagnosed and wondering about medication? One unhurried hour with a psychiatrist to review your diagnosis and find what’s right for you — then simple, structured follow-up that keeps it working.
One simple pathway from referral to well-managed medication, with the price of every step up front. No hidden fees, no surprises.
No GP referral is required to get started — but if you have a referral or a recent diagnosis report from your GP or psychologist, have it ready: it’s what your psychiatrist reviews in your initial consultation. Receipts can go to your insurer, and 20% tax relief may apply (Med 1).
Your initial consultation
Seeing a psychiatrist for the first time can feel daunting — there’s still a lot of unfair stigma around mental health. There’s nothing to be ashamed of. Your initial consultation is a full, unhurried hour, built around the diagnosis you already have.
Our psychiatrists start, review and manage medication for a condition you’ve already been diagnosed with. Your existing diagnosis report is the starting point — from there it’s about finding the right medication and keeping it working.
Antidepressants for an existing diagnosis of depression — starting one for the first time, switching if it isn’t working or the side effects are hard to live with, or tapering off safely when you’re ready. Your psychiatrist reviews how it’s going at one month and adjusts from there.
Depression therapy →Medication for generalised anxiety, panic disorder, social anxiety and related conditions, where it’s clinically appropriate. Your psychiatrist reviews anything you’ve already tried, assesses the options with you, and manages dose and timing over the months that follow.
Anxiety therapy →Mood stabilisers and related medication for an existing bipolar diagnosis, with the ongoing monitoring this treatment needs — including the regular bloods some mood stabilisers require. Your psychiatrist manages dose over time and works in shared care with your GP. If you don’t have a diagnosis yet, a bipolar assessment is the place to start.
Bipolar assessment →Stimulant and non-stimulant medication for adults who already have an ADHD diagnosis. These are controlled medicines, so treatment follows Medical Council and PSI guidance, is managed in shared care with your GP, and may require a physical check. If you don’t have a diagnosis yet, our dedicated ADHD assessment service is the place to start.
ADHD therapy →Medication for persistent insomnia and other sleep problems, including where they sit alongside depression, anxiety or shift work. Your psychiatrist looks at what is driving the sleep problem first — medication is often not the whole answer — and prescribes only where it is appropriate and safe.
Medication decisions while trying to conceive, during pregnancy, or while breastfeeding — including whether to continue, adjust or change something you are already taking. Your psychiatrist weighs the risks and benefits with you and works alongside your GP and maternity team.
Talking therapy for any of these conditions is provided by our psychotherapists — many people do both, and they work well together.
Every appointment is one-to-one and confidential, led by a psychiatrist registered with the Medical Council of Ireland and a member of the College of Psychiatrists of Ireland.12 Medication is only ever prescribed after assessment, where it is clinically appropriate and safe, in line with Medical Council and PSI safe-prescribing guidance.3 Controlled medicines may require a physical examination and shared care with your GP.
A fresh, independent review of a previous diagnosis or treatment plan, plus supporting letters or reports for your GP, workplace or college (excluding court medico-legal work unless arranged separately).
Adult ADHD and autism assessments have their own dedicated service, with the right tools, timelines and clinicians for neurodevelopmental assessment.
Fettle offers all three, and they work well together — many people see more than one. Here’s how they differ, so you can choose the right starting point. Not sure? A free concierge call will help you decide.
A medical doctor. Diagnoses, prescribes and manages medication.
An expert in assessment, diagnosis and psychological therapies (no prescribing).
A talking-therapy specialist for ongoing, weekly support.
Online psychiatry suits most adults, but some situations need urgent, in-person or specialist team care. We’ll always tell you honestly and help you get to the right service.
Are you a GP or healthcare professional? Refer a patient to Fettle psychiatry in minutes — we’ll triage the referral, arrange an appointment and keep you updated in shared care. Patients are welcome with or without a referral.
All appointments are online, and pricing for each step is shown in the guide at the top of this page.7 Two things that make it easier:
Receipts can be submitted to major Irish health insurers, and you may be able to claim 20% tax relief on qualifying medical expenses through Revenue (Med 1).6
The 20 questions people ask us most. Still unsure? A free concierge call is the easiest way to get a straight answer.
A psychiatrist is a medical doctor who specialises in mental health and can diagnose conditions and prescribe medication. Our psychologists lead psychological assessment, diagnosis (including OCD) and testing, while our psychotherapists provide ongoing talking therapy such as CBT — neither prescribes. Many people benefit from more than one, and Fettle offers all three.
No — you can book a private psychiatry consultation directly without a GP referral. It’s still helpful to share your GP’s details, as some treatment (especially certain medications) works best in shared care with your GP.
Our psychiatry service is built around medication for a condition you’ve already been diagnosed with — your psychiatrist reviews your diagnosis report from your GP or psychologist, assesses the right medication, and manages it over time through follow-up reviews and repeat prescriptions. We also offer independent second opinions and supporting reports. For talking therapy see our psychotherapists, for assessment and diagnosis see our psychologists, and ADHD & autism assessments have their own dedicated service.
It’s a conversation. In your one-hour initial consultation, your psychiatrist goes through your recent diagnosis report with you, asks about your history and how things affect daily life, and assesses whether medication could help and which is right for you. You agree a plan together — and if you start medication, a 30-minute review one month later checks how it’s going.
Appointments are by secure video. The initial consultation is one hour, the follow-up medication review (around one month later) is 30 minutes, and after that repeat prescription updates are quick, roughly every three months. You can attend from anywhere in Ireland.
Yes. Our psychiatrists are medical doctors and can prescribe where it’s clinically appropriate, sending prescriptions electronically to your pharmacy. Controlled medicines (including ADHD stimulants) follow Medical Council and PSI guidance and may require a physical check and shared care with your GP.
Adult ADHD and autism assessments are provided through our dedicated neurodevelopmental service, which has the right tools and timelines for those assessments. Visit the ADHD assessment or Autism assessment page to learn more or book.
A one-hour initial consultation is €450 — your psychiatrist reviews your recent diagnosis report and assesses medication options. A 30-minute follow-up review, around one month later, is €220. After that, repeat prescription updates are €50, roughly every three months. ADHD & autism assessment fees are listed on the dedicated ADHD & autism page. Please confirm current fees before booking.
You can submit receipts to major Irish health insurers, and you may be able to claim 20% tax relief on qualifying medical expenses through Revenue’s Med 1 process. Check your specific policy and eligibility.
Yes. Our psychiatrists are registered with the Medical Council of Ireland (Specialist Division in Psychiatry) and are members of the College of Psychiatrists of Ireland.
For most assessments, medication management and reviews, video consultations are a safe and effective option recognised under Medical Council telemedicine standards. Where an in-person examination or urgent care is needed, we’ll arrange it or refer you on.
Your psychiatrist works from the diagnosis you already have. They’ll go through your existing report with you and can confirm it, refine it, or set it down formally in their own clinical letter — then spend the rest of the hour on whether medication is the right next step. Where the picture isn’t clear, or your report is old or incomplete, they may recommend further assessment before starting medication, and they’ll explain why. If what you need is a first assessment rather than a medication review, our psychologists lead that, and ADHD & autism assessments have their own dedicated service.
Yes. Your psychiatrist can provide supporting letters or reports where clinically appropriate (court medico-legal reports are arranged separately). A fee may apply for reports.
Yes. We offer independent second-opinion consultations and can review, continue, adjust or safely change medication that was started by another clinician, with your history to hand.
Yes — with your consent, we share relevant information and work in shared care with your GP, and alongside any therapist you’re seeing, so everyone is working from the same plan.
Yes. GPs and other healthcare professionals can refer a patient using the “Refer a patient” option on this page. We triage the referral, arrange an appointment and keep the referrer updated in shared care. Patients are also welcome to book directly without a referral.
Our online psychiatry service is for adults aged 18 and over. For children and adolescents, we can point you toward appropriate child and adolescent services.
There are no waiting lists for private appointments and availability includes evenings and weekends, so most people are seen quickly. Exact timing depends on the consultation type you choose.
Photo ID, your GP’s details, a list of any medication and doses, any previous letters or diagnoses, a quiet private space with stable internet, and any questions you’d like to ask.
This service is not for emergencies. If you or someone else is in immediate danger, call 112 or 999 or go to your nearest emergency department. You can also contact the Samaritans free on 116 123, or text HELLO to 50808, any time, day or night.
Psychiatry appointments aren’t an emergency service. If you or someone else is in immediate danger, please use these free, confidential supports.
One hour with a psychiatrist to review your diagnosis and find the right medication, a check-in at one month, and simple repeat prescriptions from there. Tell us what you’d like help with and book your consultation.
Regulatory, clinical and pricing references for this page (accurate at the time of writing, June 2026).
Not sure what you need? Start with a free 20-min concierge call.
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