Expert psychiatry, on your terms

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 screening, 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 screening 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 screening 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.

Often, yes — where the picture is clear, your psychiatrist will give you a diagnosis and treatment plan. Sometimes more information, questionnaires or a further session are needed first, and they’ll explain why.

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.