In a Mental Health crisis?

Talk Changes is not an emergency or urgent care service.

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

Open, accepting new referrals, able to offer online, face to face and telephone appointments
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We help around 6,000 people in City and Hackney every year

Most people have their initial appointment within 2 weeks

Over 95% would recommend Talk Changes to a friend

The coronavirus pandemic is affecting us all in different ways.

If you’re feeling stressed, down, or struggling to cope - whether it is to do with coronavirus or not - we’re still here for you. Talk Changes can help you find ways to manage your mind and make changes, putting you back in control.

We are a confidential NHS service for adults registered with a GP in City and Hackney. We offer a wide range of tried and tested NHS talking therapies. Talking with a trained professional can help you work out how to deal with negative thoughts and feelings and learn new skills to get you back on track.

For a lot of people that we’re helping right now, Covid-19 is a significant issue in how they’re feeling. Some are worried about their health or their loved ones or living with the consequences of the virus. Others are dealing with loss or isolation. Many people are finding it hard to cope with everyone at home and all the uncertainty.

The pandemic is also affecting people’s working lives. If you’re receiving talking therapies from us, you can also get help from our specialist employment advisers. They can provide advice on looking for work, furlough, worries about returning to work, keeping skills up to date or rethinking your career if you’ve been made redundant.

We’re also still seeing lots of people for issues that aren’t related to Covid-19. For many people with common mental health problems, talking therapies are proven to be as effective as medicines. They create long-lasting positive changes so you not only feel better but stay better. We’re also continuing to work with people whose physical health problems affect their mood and motivation, helping them to cope with treatment and medication plans.

We’re still making appointments for everyone who needs them. Coronavirus means we’ve had to stop all face-to-face appointments and group sessions for the time being. Instead, all our support is available over the phone, online or through video calls.

We know that these are worrying times for everyone. If you’re finding it hard to cope, we’re still here for you.

Talk Changes
Talk Changes

Who we help

We help people with a wide range of worries, common mental health problems and emotional difficulties.

Even though many of these problems are not unusual, they can become overwhelming, distressing and make day-to-day life a struggle.

Difficulties we can help with include:

  • Low mood – depression, stressful life events, loss of motivation, low self-esteem, problems at work, relationship distress
  • Anxiety – worry that is difficult to control, anxiety about social situations, panic attacks, traumatic events, obsessive thoughts and behaviours

But Talk Changes isn’t just for people who feel depressed or stressed.

For example, it is not uncommon for people with a long-term physical health problem – such as diabetes, breathing difficulties, bowel problems or back pain – to feel overwhelmed with worry and uncertainty about the future. It can be difficult to stick to treatment and medication plans. If you have an on-going illness, we can help you learn new ways to cope so you can live life to the full.

Talk Changes is for adults registered with a GP in City and Hackney. If you are under 18, talk to your GP to find the right service for you. If you are registered with a GP outside the area, find your local service

Talk Changes

How we help

We offer a wide range of tried and tested talking therapies. These involve talking with a trained professional to help you work out how to deal with negative thoughts and feelings and make positive changes.

Talking therapies are proven to be as effective as medicines for many common mental health problems. What’s more, talking therapies create long-lasting positive changes so you not only feel better but stay better, putting you in control to get the most from life.

You can find out more about the various types of talking therapies recommended by the NHS here.

Talking therapies don’t have to be in person to be effective. We provide help over the phone, online and through video calls.

Our specialist therapists, advisers and other professionals will help you get the support that’s right for you. We will talk with you to find out what matters and what you want to achieve, and help you work towards your own goals.

The team also includes specialist employment advisers. Whether you have a job, or are trying to find one, work can have a big impact on how you feel. If you’re receiving treatment with us, we can also offer advice and practical support on applying for jobs, preparing for interviews and dealing with workplace problems.

Talk Changes

Online help

You can get online support at a time and place to suit you through SilverCloud, proven to help people manage many common mental health issues like anxiety, stress, low mood and sleep problems.

SilverCloud can help you change the way you think and feel about things. Select a programme to suit you and work through the easy-to-use interactive modules at your own pace on your smartphone, tablet or computer.

For most of the programmes you have the option of one of our professional therapists as your supporter. They will check in with you online every couple of weeks to see how you are getting on. Some programmes can be done without support if you prefer.

Many people find SilverCloud a convenient way to get the help they need. It’s perfect for people with busy lives or who do not want to travel to appointments.

SilverCloud is available to adults registered with a GP in City & Hackney.

What happens when you register?

Following registering on the SilverCloud website, you will be contacted by a member of our team within a week to arrange a telephone assessment with a clinician. This assessment will help confirm that SilverCloud is the best form of support for you.

Talk Changes
Talk Changes

Your questions

  • If my symptoms aren’t severe, will I be wasting your time?
  • Who can use Talk Changes?
  • How long will I wait for an appointment?
  • What happens at my initial assessment?
  • Do you offer appointments outside of work hours?
  • Is it confidential?
  • Can you still help if I don’t speak English?
  • How many appointments will I need?
  • What if I cannot make my appointment?

Anything else?

If you have any other questions about Talk Changes and how we might be able to help you, please contact us on 020 7683 4278 or email

Talk Changes

Real stories

Sarah found light at the end of the tunnel through talking therapy

I’ve experienced depression and anxiety for as long as I can remember. Recently I had been feeling miserable, became isolated, and stopped interacting with friends and family and people at work.

I went to my GP when I started getting panic attacks. He suggested Talk Changes. I completed the online form and got a call back to arrange an initial telephone appointment. Read more

Employment advice sets Michael on course for his first job

After finishing my BTEC things went downhill for me. I didn’t have a job and became depressed. I thought I had nothing to offer society and felt useless and sad.

I began to withdraw, struggled with sleeping, and basically didn’t go out for a couple of years. Eventually I went to the GP who put me in touch with Talk Changes. Read more

Karen had been feeling sad and irritable

I had been feeling sad and irritable and didn’t feel optimistic about anything. I stopped seeing friends and didn’t go out or exercise any more. I was staying in and comfort eating and the negative feelings just kept building up.

I actually went to the GP for medication because I wasn’t sleeping, even though I felt exhausted all the time. She suggested Talk Changes. Read more

Talk Changes helped Judith manage her irritable bowel syndrome

I've had IBS for some time now. At one of my regular appointments at the Homerton, my doctor suggested I try Talk Changes.

I knew there was a link between IBS and stress. Flare-ups are stressful and I find myself worrying about how it is going to affect my day. And when I get stressed it often makes my symptoms worse. But I hadn’t realised that talking therapies might be able to help. Read more

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Healthy Mind

Five small changes can make a big difference. These simple things have been shown to improve mental health and wellbeing.

Connect With people at home, at work, school or in your local community. Building connections with others can ease our troubles and help us see things in a different way.

Be active Walking, cycling, gardening – find an activity that suits you. Exercise can improve sleep, relieve tension, improve energy levels and help you think clearly.

Keep learning Try new things, like a cookery course or learning an instrument. Developing new skills keeps your mind active, is fun and can increase confidence.

Give Volunteer, join a community group. We all have something to offer. Giving your time can be very rewarding, boosting mood and connecting with new people.

Take notice Be curious. Savour the moment. Take time to remember the little things that make you happy.

Find out more about Five to Thrive, City and Hackney’s steps for wellbeing and mental health here.

Talk Changes

Useful stuff

How to look after your mental health during the Coronavirus pandemic. Talk Changes senior therapist Olivia Muir discusses tips for your wellbeing at this difficult time.

Cognitive behavioural therapy or CBT is based on the idea that thoughts, feelings, what we do and how our bodies feel are all connected. It is one of the principal therapies used by Talk Changes' therapists.

This one minute animation explains what CBT is.

Looking to improve your mental wellbeing? Poppy Jaman OBE and CEO of the City Mental Health Alliance shows you what you can achieve through the simple but powerful Five Ways to Well-being - also known as Five to Thrive.

Older people explain how talking therapies have helped them.

Talk Changes
Need urgent help?

If you need urgent help because you are worried that you might harm yourself or someone else, call the 24-hour City & Hackney crisis helpline on

020 8432 8020

Contact us

The easiest and quickest way to arrange a telephone assessment is to complete the online referral form. The referral form asks for some information that you may not know. Don’t worry if you can’t answer all the questions.

However, the more information you can provide, the easier it is for us to get you the right support as quickly as possible.

If you prefer, you can also email us on:

Most people receive an initial telephone assessment within two weeks. Following your initial assessment we’ll agree a treatment plan with you and book your next appointment.

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Find ways to get a better night’s sleep so you can be at your best.


Do you have problems with insomnia, thoughts racing or frequent waking throughout the night? If you have trouble sleeping, this free NHS workshop helps you master techniques that can help break poor sleep patterns.



Tuesday 2nd July 12.00 – 14.00

Wednesday 10th July 18.00-19.30

Thursday 18th July 18.00-19.30



Dalston Library, 24-30 Dalston Lane E8 3AZ.


Book now

This workshop is available to anyone over 18 who is registered with a City and Hackney GP. Booking is essential. Email us to confirm the date and time of the workshop you would like to attend (