Practitioners

We fill the gap of specialist outpatient mental health diagnostics and follow-up when local access is either over-subscribed, substandard, or simply not there. It is particularly useful to primary care providers, coaches, and therapists to know that we can help.

Many issues affect mental health but evade routine testing, yet they cause substantial, real difficulty to people if the issue is missed. For example, fifteen years ago doctors didn't know ADHD could persist into adulthood. Diagnosis and treatment often brings patients tears of relief after years of suffering.

Doctors and therapists need support for high-functioning people who have issues that are difficult to pin down. They're not ill, but neither are they fully well.

What we see

The causes can be very evasive.

Sub-clinical hormonal issues. Borderline mineral deficiencies. Poor sleep. ADHD or high-functioning autism, becoming unmasked in adulthood for some reason.3,4 The past twenty years of research have unearthed a whole list of things that require specialist opinion.

A short list of typical presentations:

• Tired all the time, but it's not anaemia or burnout
• Functions at a high level; minor non-pathological changes affect performance5
• Restless and uncomfortable, but rational, and mood seems OK
• Poor concentration with no obvious physical or mental cause
• Irritability but not depressed or anxious
• Self-medicating for sleep, anxiety, or stress with OTCs or substances
• Unwanted but entrenched habits, patterns or reactions
• Brought by a frustrated partner or friend, in denial or insightless
• Absent or unusual emotional reactions, out of keeping with the events that caused them. Unusually positive reactions to grief or trauma
• "Could I be (ADD / on the spectrum / bipolar etc), doc?"

How we work

A full clinical report, every time.

All work is carried out by a specialist holding a valid UK CCST in Psychiatry. In all cases, the client receives a full report, with details and instructions for further care if appropriate. Occasionally we request basic tests and prescriptions to be done locally. Fees are covered by medical or occupational insurance, subject to region.

Get in touch

Enquiries are received by email.

Clients can even self-refer via the same address. The initial consultation is free of charge, its purpose to see if there is a good fit, and exchange views. Often, this consultation is itself enough.

Thereafter, we see people privately and remotely, covering everything from diagnosis and prescription to follow-up. If local tests, follow-ups or prescriptions are required, we take on full liaison with the client's own local health provider, subject to their agreement.

Affordability

Free care, where it's needed most.

For clients in Africa and India who cannot afford or access mental health provision, Dr Harris does entirely free voluntary mental health public-facing education, and short private consultations too. Clients are invited to message him directly via his Instagram handle @drtkharris.

References

Sources.

1. 1Harris et al. "Effects of intra- and inter-individual variation on the appropriate use of normal ranges." Clin Chem. 1974;20(12):1535–1542.
2. 2Harris et al. "Biological and analytic components of variation in long-term studies of serum constituents in normal subjects. II. Estimating biological components of variation." Clin Chem. 1970;16(12):1022–1027.
3. 3Mountjoy et al. The IOC consensus statement: beyond the Female Athlete Triad, Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014;48(7):491–497.
4. 4Meeusen et al. Prevention, diagnosis and treatment of the overtraining syndrome: joint consensus statement of the ECSS and ACSM. Eur J Sport Sci. 2013;13(1):1–24.
5. 5Cadegiani & Kater. Hormonal aspects of overtraining syndrome: a systematic review. BMC Sports Sci Med Rehabil. 2017;9:14.