No. You can book an appointment directly without a GP referral. However, with your consent, I will usually write to your GP following our appointment to ensure continuity of care.

If your GP would like to send in a referral, they could send an email to: afraa.delvi@theperinatalpsychiatrist.com

Perinatal psychiatry is a subspeciality within Adult Psychiatry. A perinatal psychiatrist has specialist expertise in diagnosing and treating mental health difficulties presenting in pregnancy and the postnatal period. A perinatal psychiatrist has expertise to provide advice on use of medication in pregnancy and whilst breastfeeding. As a perinatal psychiatrist, I take a holistic approach to treatment. In some cases, medication can play a role alongside lifestyle changes, therapy and exercise to keep you well.

Your initial consultation is a comprehensive psychiatric assessment. We will discuss your current concerns, symptoms, medical and psychiatric history, previous treatments, lifestyle factors and any goals you have for treatment. At the end of your appointment, we will agree on a personalised treatment plan and you will receive a summary letter outlining the assessment and recommendations.

Initial psychiatric assessments usually last 60-90 minutes. For perinatal patients, I would recommend a 90 minute appointment to allow time for discussion of treatment options including impact on pregnancy.

At present, I am working on getting registered with insurers in order to become a recognised provider.

Yes. Where appropriate, I can prescribe psychiatric medication as part of your treatment plan. Prescribing decisions are made collaboratively, taking into account the potential benefits, risks, your medical history and your individual preferences.

Where appropriate, I am happy to work collaboratively with your GP to request shared care prescribing. Shared care arrangements are always at the discretion of your GP and local NHS guidance.

Confidentiality is an essential part of psychiatric care. Information shared during your consultation will be treated with confidentiality, except in exceptional circumstances where there is a legal or professional duty to share information to protect you or someone else from serious harm. If this situation arises, I will discuss it with you wherever possible.