New Patients

Many individuals find the idea of a psychiatric consultation daunting. To help ease any concerns, Dr Michael Rowlands has outlined the assessment process in advance.

As a medically qualified psychiatrist, Dr Rowlands differs from a psychologist in that he is trained to investigate physical factors that may affect mental health and is also licensed to prescribe medication where appropriate. Initial consultations typically last around an hour, allowing patients to discuss symptoms and any underlying factors that may be contributing to their difficulties. Dr Rowlands will also explore a patient’s relationships, background, and upbringing, as these often have relevance to current issues. Patients are encouraged to bring a list of current medications to the consultation.

Dr Rowlands sees individuals with a wide range of concerns, including difficulties with life changes, poor coping mechanisms, low self-confidence, the impact of childhood trauma or bullying, and more serious psychiatric disorders. He emphasises that seeking help is a responsible and positive step and should not be stigmatised.

He consults from several locations—including The Medwyn Surgery (Dorking), Spire Gatwick Park Hospital, and The Priory Hospital Roehampton—offering appointments at the most convenient clinic for each patient. Alternative locations can be requested, though Dr Rowlands does not offer evening appointments. Follow-up sessions are usually 30 minutes, with the option of an hour if necessary.

Change of Appointments

To change or cancel an appointment, patients are advised to email admin@drrowlands.co.uk. While appointment changes are handled as promptly as possible, responses may be delayed during clinic hours. Dr Rowlands does not charge for missed appointments, but patients are kindly asked to give notice if they will be late or unable to attend, so the time can be offered to others.

Insurance

Many patients use private health insurance to cover consultation fees, provided they have a referral from a GP. Patients should check their policy in advance to ensure coverage and inform Dr Rowlands of their scheme details. Invoices can be sent directly to the insurer, although patients remain responsible for any shortfall. If a claim form is required, it should be brought to the appointment; there is no additional fee for completing it.

For patients needing more intensive treatment, such as inpatient or day patient care, Dr Rowlands practises at The Priory Hospital Roehampton, where he supervises care. These services can also be covered by insurance, subject to pre-authorisation.

Dr Rowlands encourages patients to develop skills that support recovery and resilience. In addition to medical treatment, he works with a network of trusted therapists offering services such as Cognitive Behavioural Therapy (CBT), counselling, and anxiety management. He can recommend therapists whose fees are often reimbursable through insurance. It is important for Dr Rowlands to know which insurer the patient is with, as coverage can vary. He liaises directly with therapists, who then contact the patient and provide regular updates on therapeutic progress.

Communication with GPs

Dr Rowlands typically writes to the patient’s GP following the consultation, often dictating the letter during the session to ensure clarity and accuracy. While copies of these letters are not routinely sent to patients, they are available on request. Patients who do not wish their GP to receive clinical information should inform Dr Rowlands in advance. However, if medication is prescribed, he believes it is essential that the GP is informed to ensure safe prescribing practices, particularly to avoid drug interactions. GPs will often prescribe medication on Dr Rowlands’ behalf, which may be more cost-effective than private prescriptions. Prescriptions issued outside of consultation time incur a £30 fee.

Patients should contact Dr Rowlands—via his assistant Trudy—if they experience side effects or problems with medication. Messages will be passed to him throughout the day.

Additional Communication

Patients are welcome to email or write to Dr Rowlands between appointments with any important updates. Some find it helpful to bring a written summary to the consultation to ensure key points are discussed. While Dr Rowlands prefers to see patients individually, friends or family members are welcome to attend if requested.

Collaborative Care

Dr Rowlands is committed to involving patients in decisions about their care. He discusses treatment options clearly, explaining the benefits and risks to ensure that patient preferences are central to the plan. If any concerns arise, he encourages open communication so issues can be resolved quickly and constructively.

Should a patient wish for Dr Rowlands to speak with family members or others involved in their care, written consent will be required.

Outpatient Registration

Please click here to download and complete the Outpatient Registration form.