Free confidential therapy in City and Hackney

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If you’re feeling stressed, anxious, depressed, or struggling to cope – we’re here for you.

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“I feel low” 

“I feel anxious”

“I have distressing memories”

“I have a physical health condition”

“I feel nervous in social situations”

“I feel worried”

It is normal to feel low, sad or down sometimes but if this goes on for too long then talking therapies have been proven to help people make positive changes so that they feel better and stay better.

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We help over 10,000 people with common mental health problems every year

97% of our service users rated the service as ‘very good’ or ‘good’

88% of our service users said that the service helped them to deal with their health or condition better

99% of our service users said that treatment options were clearly explained at assessment

98% of our service users receive an assessment within 6 weeks

60% of people we help make a full recovery and many more make lasting positive changes

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City & Hackney Talking therapies is the new name for Talk Changes.

We are an NHS service offering free talking therapy to people registered with GPs in the City and Hackney area in London. These areas include Barbican, The City, Clapton, Clerkenwell, Dalston, London Fields, Shoreditch, Stamford Hill, Stoke Newington, Hackney, Hoxton and Homerton. We offer psychological therapy to help with issues ranging from Anxiety, Depression and Panic Attacks to Phobias, Obsessive Compulsive Disorder (OCD) and Post traumatic stress disorder (PTSD).

Although you do need to be registered to a GP in the above areas, you do not need a GP referral to talk to us.  You can refer yourself directly via the ‘Get Help’ buttons on this website.

The types of therapies that we can offer include Cognitive Behavioral Therapies (CBT), Mindfulness Based Cognitive Therapy, Behavioural Couples Therapy, Interpersonal Therapy and Counselling for Depression.

Through talking to one of our trained professionals we can help you manage your negative thoughts, improve your mood and make positive changes. Visit our How We Help page for more information on the common mental health problems we can help with or refer yourself privately to our service via the button below.

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Common problems we can help with

Talking Therapies are proven to help with the following issues.


Anxiety is a normal human response that everyone feels from time to time. We might feel anxious before a job interview, when public speaking, or when we are worried about something. Talking Therapies can help you learn about anxiety response so that you feel more relaxed and in control.

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Everyone feels low sometimes. When feeling low goes on for too long or starts to effect your day to day life then this might be depression. Depression is a common mental health problem and Talking Therapies can help you find ways to lift your mood and enjoy your life again.

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Generalised Anxiety Disorder

Worrying a lot about different things and difficulty relaxing can be signs of Generalised Anxiety Disorder. Talking Therapies can help you find new ways to relax and put your worries into perspective.

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Health Anxiety

We all worry about our health from time to time. However if you are constantly worried about your health then Talking Therapies can help you understand why and put Health Anxiety into perspective.

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Obsessive Compulsive Disorder (OCD)

People who have Obsessive Compulsive Disorder have repetitive thoughts or images that make them feel anxious (obsessions) and may feel like they need to do particular things (compulsions) to reduce their anxiety. Talking Therapies can help people make sense of their Obsessive Compulsive Disorder and learn new coping strategies.

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Panic Attacks

A panic attack is a sudden rush of physiological symptoms like breathlessness or palpitations. If you have frequent panic attacks or avoid situations where you fear you might have them, then you may have Panic Disorder. Talking Therapies can help you learn new ways to manage panic attacks and reclaim your life.

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Phobias are very common and different people will feel afraid of different things. Talking Therapies can help you learn new ways to overcome a phobia so that it doesn’t interfere with daily life.

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Post Traumatic Stress Disorder (PTSD)

Some people develop Posttraumatic Stress Disorder following an extremely threatening event during which they felt intense fear or helplessness. Talking Therapies can help you understand Posttraumatic Stress Disorder and reclaim your life from distressing past events.

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Social Anxiety

Everyone has anxiety in some social situations. People who have Social Anxiety Disorder may feel extremely nervous about talking to other people or being observed and may worry that they are being criticised or judged. Talking Therapies can help you make sense of Social Anxiety and learn new ways to cope so that you feel more comfortable in social situations.

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Need Urgent Help?

If you need urgent help and are worried that you can’t keep yourself safe, City and Hackney has a 24-hour Crisis helpline on 0800 073 0006 or you can get help at your local Accident and Emergency department.