Anti-Depressant / Anti-Anxiety Medication Review "*" indicates required fields After submission of this form: – The practice will continue your medication as usual if you have indicated you are happy with things – Otherwise the practice will contact you in a few days time days time to arrange a review.Name* First Last Date of birth* DD slash MM slash YYYY Phone number to get in touch*Email Optional Usual GP Optional eg Dr Turnbull / Dr Brooks Psychological Therapies Medication is just part of the treatment of depression and anxiety. It is important that counselling, psychology, CBT, self-help and education is also considered as part of your treatment. Please take a look at the resources available for Kirkliston and Winchburgh here.Please confirm you have considered psychological therapies as part of your treatment* Yes I’m not interested Exercise Exercise is a natural antidepressant. It promotes mental and physical health as well as positive body image. We can refer you to local exercise schemes.Please confirm you have considered exercise as part of your treatment* Yes I’m not interested Alcohol Consumption of more than 14 units per week is linked to poor mental and physical health. Here are some ways of cutting down. Please confirm you have considered reducing alcohol as part of your treatment* I consume fewer than 14 units per week I consume more than 14 units per week and I have considered the above methods of cutting down I consume more than 14 units per week AND I WOULD LIKE TO BE CONTACTED FOR HELP WITH THIS If your mood has been good for 6 months we would ask that you consider reducing or stopping your medication* YES, PLEASE GET IN TOUCH WITH ME No thanks Would you like to continue your medication for the next year?* Yes, please just continue my medication NO, PLEASE GET IN TOUCH WITH ME Brief summary of your mental health Optional This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read ourĀ privacy policy to discover how we protect and manage your submitted data.Consent I agree to the privacy policy. Optional© 2022 Kristian TurnbullCAPTCHA OptionalName OptionalThis field is for validation purposes and should be left unchanged.