Please take some time to answer the following and tell us how you have been feeling. After we receive your referral, we will invite you to book an assessment appointment by calling you or sending a text message invitation. Please monitor your messages and book this appointment within 10 days.

You are in the right place if you are:

• Experiencing low mood, anxiety, or stress, and would like to see what support can be offered to help you manage it.
• You are registered with a Wolverhampton GP.
• You are 16 years of age and over.

We are unable to provide intervention if you are actively receiving treatment from another service, or on a waiting list for treatment. This includes the Eating Disorders Service, Community Mental Health Teams (CMHTs) and Crisis Resolution Home Treatment (CRHT).

Talking Therapies provide treatment for common mental health problems including anxiety and depression. If you have a diagnosed mental health condition, for example personality disorders, psychosis, schizophrenia or bipolar, and these are the main reason you are seeking treatment, it may more helpful for you to consult your GP for guidance on the most appropriate intervention.

If you need immediate help:

If you are in crisis and need help with your mental health as a matter of urgency, we recommend speaking to your GP in the first instance so they can choose the most appropriate NHS service to help. Out of hours you can call 111 (or 999 in an emergency).

You can also call the following services for support if you feel you need immediate support:

• Samaritans 116 123 (24-hour helpline).
• 24/7 Mental Health Helpline through NHS 111, Option 2.
• Or attend Accident and Emergency at New Cross Hospital.

Please be aware, by completing this self-referral form you are consenting for us to liaise with your GP in relation to any contact and treatment you have with Wolverhampton Talking Therapies.