Use this simple structure
- “This has been happening for [time].”
- “It affects my [sleep/eating/work/relationships/safety] by [example].”
- “The hardest part is [main problem].”
- “Since [change or referral], it has become [better/worse/different].”
- “I need help with [assessment, treatment, medication review, fit note or referral].”
Put your main point first
- Appointments are short, so lead with the issue you most need addressed.
- Say clearly if you have harmed yourself, feel unsafe, or have thoughts of suicide.
- Mention medicines, side effects, physical conditions and substances.
- Bring a written note if you freeze or lose your train of thought.
Before you leave
- Repeat back the plan in your own words.
- Ask what happens next, likely timing, and who to contact if things worsen.
- Write the plan down or ask for it in writing.
Keep it manageable
You do not have to complete every step today. Choose the smallest useful action, such as writing one sentence, saving one number or asking one person to sit with you while you call.
Trusted sources and next steps
NHS mental-health services ↗Mind: seeking help for a mental-health problem ↗General UK information, not a diagnosis or personal treatment plan. Services differ across England, Scotland, Wales and Northern Ireland. Information reviewed 23 August 2026.