Talking to your doctor (GP) about mental health: A therapist guide

Why talking to a GP about mental health can be difficult?

• Social stigma: Many people feel embarrassed or ashamed to talk about mental health due to social stigma, fearing they will be judged or misinterpreted. 
• Uncertainty: People may not fully understand their mental health issues or might question whether their symptoms are significant enough to address. 
• Openness: Opening up about personal feelings and struggles can be uncomfortable, especially when revealing sensitive details. 
• Diagnosis anxiety:  The fear of being diagnosed with a mental health condition may prevent individuals from reaching out for help. 
• Lack of awareness: Some individuals may not understand the significance of mental health in overall well-being or may not know that GPs can assist with mental health problems. 

How to talk to my GP about mental health issues?

• Acknowledge the issue: Start by understanding that mental health is equally important, and you have every right to seek support. 
• Be honest: Share your feelings honestly. Let your GP know about the symptoms you've been dealing with, such as sleep disturbances, anxiety, stress, or mood swings. Be as detailed as possible. 
• Make notes: Before your appointment, list your symptoms, their duration, and their impact on your day-to-day activities. This will ensure you don’t forget anything. 
• Voice your concerns: If you are feeling anxious or unsure, inform your GP. It’s okay to express concerns regarding judgment or how they might respond. 
• Ask questions: Write down all the questions about your symptoms, treatment options, or next steps. Don’t hesitate to ask for clarification if something is confusing. 
• Follow up: Mental health is an ongoing journey, so stay connected with your GP. They may want to follow up with you in a few weeks to see how you are doing. 

How do I find a GP?

1. Search online: Use resources like Hola Health to locate and schedule a GP appointment. 
2. Check for bulk billing: If you have Medicare coverage, search for GPs that offer bulk billing to reduce your expenses. 
3. Locate a mental health GP: Visit clinic websites to find doctors who specialise in mental health treatment. 
4. Request recommendations: Ask friends, family, or pharmacists for their suggestions. 
5. Schedule an appointment: Convey your mental health concerns to ensure you have ample time for discussion. 
6. Get ready for your visit: Jot down your symptoms, worries, and any questions you may have. 
7. Inquire about a mental health treatment plan: If you qualify, your GP can provide a plan for subsidised psychology sessions under Medicare. 

Detailed guide

1. Select the appropriate GP: Look for a doctor who has a background in mental health by reviewing clinic websites or seeking recommendations. 
2. Arrange for an extended appointment: When you book, inform them that you wish to address mental health issues so you can have adequate time for discussion. 
3. Be sincere and open: Discuss your symptoms, feelings, and thoughts freely—your GP is here to support you. 
4. Prepare your inquiries: Write down any questions you have related to treatment options, therapy referrals, or medications. 
5. Seek companionship: If you feel anxious, consider bringing a trusted friend or family member for support. 
6. Be attentive: Take notes on your GP’s recommendations and don’t hesitate to ask for clarification if you require it. 
7. Ask about a mental health treatment plan: If you’re eligible, your GP can establish a plan for subsidised sessions with a psychologist. 
8. Plan for follow-up visits: Mental health care requires ongoing attention—schedule further appointments to monitor your progress and make necessary adjustments to your treatment. 

The GP’s role

How do you ask your GP for a mental health plan?

1. Assessing your mental health through: 

• Listening to your concerns 
• Evaluating your symptoms 
• Providing initial assistance with coping techniques and lifestyle recommendations 

2. Diagnosing conditions like: 

• Anxiety disorders 
• Depression 
• Stress-related disorders 

3. Developing a bulk-billed Mental Health Care Plan if you qualify, which provides access to: 

1. Subsidised psychological sessions under Medicare (up to 10 sessions per calendar year) 
2. Referrals to mental health professionals 

4. Potentially prescribing and monitoring medication when appropriate 

5. Referring patients to specialists including: 

1. Psychologists/Psychotherapists/Counsellors 
2. Psychiatrists 
3. Support groups