Talking to a doctor (GP) about mental health in Australia

Summary: Talking to a GP about mental health is a proactive step toward well-being. In Australia, GPs play a crucial role in diagnosing and managing mental health conditions, providing referrals, and helping individuals access subsidized support through Medicare’s Mental Health Treatment Plan (MHTP). Whether through in-person visits or telehealth, seeking help early can prevent worsening symptoms. Starting the conversation may feel daunting, but GPs are trained to listen and guide patients toward the right treatment.

Talking about mental health can feel like stepping into a cold pool—uncomfortable initially, but once you’re in, it becomes easier and can feel quite rejuvenating. In Australia, discussing mental health with a doctor (GP) has become less of a taboo and more of a smart move. Your GP is your health mentor, someone who can guide you through the complexities of mental health, offering guidance, support, and access to resources. It’s an excellent first move when you are feeling low, and with the right mindset, it can be an empowering experience to prioritise your mental well-being.  

Who can I talk to about mental health?

Many healthcare providers provide mental health services. Your GP is often the first person to turn to for all mental health concerns. They listen to your problems, offer a diagnosis, prescribe medications if needed, and may refer you to specialists such as psychologists or psychiatrists.   It is important to speak to your GP if you feel you are facing mental health difficulties. 

Why see a GP?

Your GP is often the first point of contact for all mental health problems. They are trained to evaluate, diagnose, and manage mental health challenges. They can also direct you to mental health professionals such as therapists, psychologists, and psychiatrists. In fact, in 2020, a nationwide study by the Royal Australian College of General Practitioners in their “Health of the Nation” report, highlights that mental health problems are the most common cause for individuals seeking help from their GPs. This aligns with data from earlier surveys. Unfortunately, though, as widespread as psychological difficulties are, they can often go unnoticed. For example, mood disorders and anxiety-related conditions are the most commonly occurring mental health disorders in Australia, with the average time it takes for someone to get help being 8.2 years. Like any other health problem, these conditions could get worse, if left untreated.  

Also read: Many patients feel more trust when speaking to GPs online: Study 

How do I find a GP?

Finding a general practitioner for mental health assistance in Australia is easy, and you can opt for an in-person visit or utilise telehealth services, depending on your comfort level. If you prefer telehealth, many GPs provide online consultations via phone or video. You can talk to a GP via telehealth like Hola Health. Numerous clinics permit direct appointment bookings. 

Pros and cons of visiting a clinic vs telehealth:

 In-person appointments:

• Pros: Foster a more personal connection, enhance communication, and allow for necessary physical examinations. 
• Cons: May involve commuting, longer wait periods, and could feel daunting if you struggle with anxiety about in-person visits. 

Telehealth:

• Pros: Provides convenience, enabling you to consult with a GP from home, alleviating stress and saving time. 
• Cons: Lacks physical examination opportunities, and depends on a reliable internet connection for clear communication. 

Also read: Best mental health habits this year – A therapist’s guide

Opting for free mental health support in Australia

A Mental Health Treatment Plan (MHTP) is an initiative supported by the government under Medicare to assist Australians in obtaining affordable mental health services. Suppose you are facing challenges such as anxiety, depression, stress, or other mental health issues. In that case, an MHTP enables you to receive Medicare rebates for consultations with a psychologist, social worker, or occupational therapist. This initiative makes therapy more attainable, lessening out-of-pocket expenses. 

What is included in an MHTP?

• Up to 10 sessions per year with a mental health practitioner covered by Medicare. 
• A personalised treatment plan created by your GP tailored to your requirements. 
• Referrals to specialists like psychologists, social workers, or occupational therapists. 

Summary: An MHTP covers up to 10 therapy sessions per year, a personalized treatment plan, and referrals to mental health professionals.

How can you obtain an MHTP?

• Schedule a GP appointment: Arrange a consultation to talk about your mental health issues. Telehealth options are available if you prefer. 
• Evaluation & discussion: Your GP will inquire about your symptoms, concerns, and medical history to decide if an MHTP is appropriate. 
• Receive your treatment plan: If you qualify, your GP will develop a customised plan and refer you to mental health professionals. 
• Schedule your sessions: You can now attend therapy sessions with Medicare rebates, significantly reducing costs. 

How do I start a conversation about mental health with my GP?

Initiating a conversation with your GP regarding mental health may feel daunting, yet it is a crucial step towards receiving the help you require. General practitioners are equipped to address mental health issues and can assist you in exploring potential treatment pathways. 

Steps to begin the discussion

1. Request a longer appointment: Conversations surrounding mental health require time, so think about asking for an extended session when scheduling. 
2. Be open about your emotions: Share how you’ve been feeling, including any symptoms like anxiety, sadness, or issues with sleep. 
3. Use straightforward expressions: If you're uncertain where to begin, you might say: 
   1. “I’ve been facing challenges with my mental health recently.” 
   2. “I feel anxious and overwhelmed, and I’m unsure about what to do.” 
4. Talk about changes in your daily routine: Indicate if your mood, sleep patterns, energy levels, or relationships have been impacted. 
5. Inquire about available support options: Your GP can provide guidance on treatment possibilities, including therapy, medication, or a mental health treatment plan (MHTP) that qualifies for Medicare-funded sessions. 

What questions will my doctor ask me?

When discussing your mental health, your GP will ask a few questions to better understand your feelings, symptoms, and overall well-being. These questions help them assess your situation and recommend the right support.  Here are some common questions your doctor might ask: 

• How have you been feeling recently?   
• Have you observed any shifts in your mood, energy, or sleeping patterns?   
• Are you dealing with stress, anxiety, or feelings of sadness? If so, how frequently?   
• Have your emotions impacted your everyday life, work, or personal relationships?   
• Do you struggle with focus or decision-making?   
• Have you lost interest in activities that you typically find enjoyable?   
• Are you experiencing physical issues like tiredness, headaches, or changes in appetite?   
• How do you typically manage stress or emotional challenges?   
• Do you sometimes feel hopeless or have thoughts about harming yourself?   
• Are you interested in discussing treatment alternatives, such as therapy or a mental health treatment plan (MHTP)?   

What questions should I ask my doctor? 

Asking your doctor the right questions can enhance your understanding of your mental health and the available resources. Here are some key queries to reflect on: 

Understanding your mental health:

• What might be the reasons behind my feelings of anxiety, stress, or sadness? 
• Could my physical health issues be influencing my mental well-being? 
• How can I determine if my symptoms are indicative of a mental health condition? 

Treatment options:

• What treatment options do I have, and what would you suggest for me? 
• Am I eligible for a mental health treatment plan (MHTP) to receive subsidised therapy? 
• Should I explore therapy, medication, or perhaps a combination of both? 
• Typically, how long does it take to notice improvements with treatment? 
• Are there any lifestyle modifications that could benefit my mental health? 

Medication-related questions (if applicable):

• What are the advantages and possible side effects of the medication? 
• How long will I need to remain on it, and what should I do if I discontinue it? 
• Are there any alternatives to medication that I could consider? 

Ongoing support and next steps: 

• How frequently should I follow up with you regarding my mental health? 
• What steps should I take if my symptoms worsen? 
• Can you suggest any support groups or additional resources? 

How much will it cost?

The expense of seeing a general practitioner for mental health assistance varies depending on whether the clinic offers bulk billing or requires a gap fee. If the clinic provides bulk billing, Medicare pays the entire cost, so you won't owe anything. If not, you might have to pay a gap fee, which typically ranges from $20 to $60 or more. 

There are options of free mental health treatment plan online which is fully bulk billed, meaning there is no charge for the online GP visit. Find out more on mental health care plan in Australia.  

Ultimately, talking to a GP about your mental health is like giving your mind a tune-up. While it may feel uncomfortable at first, it’s one of the best ways to take control and get the help you need. With the right support and tools, you’ll be back on track—healthier, stronger, and ready to face whatever comes next!