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

Contact Talk Changes

NHS Psychological Therapies Service in City and Hackney



020 7683 4278

Talk Changes Address:

Talk Changes (City and Hackney IAPT)
Louis Freedman Centre for Wellbeing
St Leonard's Hospital, Nuttall Street
London, N1 5LZ

Talk Changes Email:

NHS Talking Therapy Services in City & Hackney

If you live in City and Hackney and are aged 18 or over, you can access NHS psychological therapies (IAPT) services to receive help with your mental health

You can refer yourself directly or via your GP

Refer Me - Get NHS help
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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