No. Referrals usually come from the surgeon or aesthetic practitioner. Patients can also self-refer if their surgeon has asked them to obtain an assessment.
Who can make a referral?
Plastic and cosmetic surgeons, dermatologists, aesthetic practitioners and clinics. Clinics expecting regular referrals can discuss a practice arrangement.
How quickly will the report arrive?
The written report is sent to the referrer within 5–7 working days. The rapid pathway offers an appointment within 48–72 hours and a report within 3 working days.
Can the assessment be done by video?
Yes. Secure video consultations are available anywhere in the UK, as well as in person at 10 Harley Street, London.
What does the report include?
A DSM-5 diagnosis where applicable, validated screening scores (BDDQ, Y-BOCS-BDD, PHQ-9, GAD-7), a recommendation on surgical suitability and, if requested, a statement on capacity. Reports are typically 3–5 pages.
Referrers
For surgeons & clinics
Can I discuss a case before referring?
Yes. Clinicians are welcome to call before referring to talk through a case without naming the patient.
Does a BDD diagnosis rule out surgery?
Not always. The report sets out whether to proceed, defer or not proceed, and explains any conditions that should be met first.
Do you offer arrangements for clinics?
Yes. Practices expecting regular referrals can discuss a practice arrangement, and CPD-accredited training is available for clinical teams.
Patients
For patients
Why has my surgeon asked me to have an assessment?
Many surgeons now ask for a psychiatric opinion before some procedures. It is not a judgement about you. It helps everyone make sure the procedure is likely to help, and that you have the right support.
How long does the appointment take?
Usually 60–90 minutes. It is a conversation with a consultant psychiatrist, and you can take breaks if you need them.
Who will see my report?
The report is sent to the clinician who referred you. You will be told at the start what will be shared and with whom.
What should I have ready?
It helps to have details of any previous procedures and any current medication to hand. If you have letters from other clinicians that you would like us to see, you can bring those too.
What if I need help urgently?
If you are in crisis or worried about your safety, call 999 or go to A&E, call NHS 111, or call the Samaritans on 116 123. Please do not wait for an appointment.
Need help now?
If you are in crisis or worried about your immediate safety, please do not wait for an appointment. Call 999 or go to your nearest A&E, call NHS 111, or call the Samaritans on 116 123 (free, 24 hours a day).