Private, At-Home Depression Treatment In London & the UK
Professional, compassionate, curated care. In the comfort of your own home.
Receive tailored, clinically-guided depression treatment in London and surrounding areas.
Our expert psychiatrists and therapists provide discreet, personalised care for conditions like major depressive disorder, treatment-resistant depression, and postnatal depression – all in the comfort and privacy of your home. Take the first step toward lasting relief today.
A clearer picture of depression
Depression is more than just feeling ‘sad’ or ‘low’; it’s a complex mental health condition that impacts the way people think, feel, and function. Clinically known as Major Depressive Disorder (MDD), it’s characterised by persistent low mood, loss of interest in activities, and physical symptoms like fatigue or disrupted sleep. Depression can arise due to a combination of biological factors – such as imbalances in brain chemicals like serotonin and dopamine – as well as environmental stressors like trauma or loss.
This condition doesn’t look the same for everyone. Some may experience severe, debilitating symptoms, while others endure a more chronic, milder form known as Persistent Depressive Disorder (PDD). Understanding the nuances of depression is key to developing effective treatment plans tailored to individual needs, which is where clinical and curated oversight becomes incredibly important.
What are the types of depression?
Depression manifests in various forms; each with unique symptoms, triggers, and treatment approaches. Understanding the distinctions allows for more effectively tailored care that addresses the specific needs of each individual.
Atypical depression
Atypical depression is marked by mood reactivity, meaning positive events can temporarily lift the individual’s mood.
- Other key symptoms include increased appetite, excessive sleep, heaviness in the limbs, and heightened sensitivity to rejection. Despite its name, this type of depression is not uncommon, and requires a nuanced approach to treatment that often combines psychotherapy with medication.
Persistent depressive disorder (PDD)
Also known as dysthymia, PDD is a chronic form of depression lasting two years or more.
- Symptoms can range from mild to severe and often include low energy, feelings of hopelessness, and difficulty concentrating. PDD can significantly impact daily functioning, but its slower progression may make it harder to recognise without professional assessment.
Seasonal affective disorder (SAD)
SAD is a recurrent form of depression triggered by seasonal changes, often during the darker winter months.
- Symptoms include low energy, changes in appetite, and difficulty concentrating. The lack of natural light may contribute to this condition, with treatments often including light therapy, psychotherapy, and sometimes medication to regulate mood.
Postpartum depression
Postpartum depression can occur during or after pregnancy and is influenced by hormonal shifts, sleep deprivation, and the pressures of motherhood.
- Unlike the ‘baby blues’ – which resolve in a few weeks – postpartum depression persists, and may include severe mood swings, feelings of inadequacy, and difficulty bonding with the baby. Early intervention is crucial to support both mother and child.
Psychotic depression
Psychotic depression is a severe form of the condition, accompanied by symptoms such as delusions, hallucinations, or paranoia.
- These psychotic features are often mood-congruent, aligning with feelings of worthlessness or guilt. It requires immediate medical attention and specialised treatment, often combining antidepressants and antipsychotic medications.
Short duration depressive episode
This type of depression lasts less than two weeks and is typically linked to identifiable stressors such as loss or trauma.
- Though brief, these episodes can be intensely distressing and may impair daily life. If symptoms persist or recur frequently, they may signal an underlying condition such as Major Depressive Disorder, warranting more comprehensive evaluation.
Depression symptoms
Depression affects each person differently, but certain symptoms are common and recognised as part of a Major Depressive Disorder (MDD) diagnosis. A professional assessment is essential when these symptoms significantly impact daily life.
Core symptoms
For MDD, five or more of the following must occur within two weeks, with at least one being a loss of interest or a depressed mood:
- Persistent feelings of sadness, emptiness, or anxiety
- Loss of interest in previously enjoyable activities
- Changes in appetite or weight (eating too much or too little)
- Sleep disturbances: insomnia, excessive sleeping, or early waking
- Fatigue or a noticeable lack of energy
- Difficulty concentrating, making decisions, or remembering details
- Feelings of worthlessness or excessive guilt
- Slowed movements or restlessness
- Thoughts of death or suicide
Other symptoms may include irritability, chronic pain, digestive issues, or headaches that do not improve with treatment.
When to seek immediate help
Contact a professional immediately if you:
- Have thoughts of self-harm or suicide
- Struggle to care for yourself
- Engage in behaviours that endanger yourself or others
We are here to help
Contact us to find the care you need today.
+44 (0)800 193 3277 or
[email protected]
The causes of depression
Depression is a complex condition with no single cause. Instead, it arises from an interplay of biological, genetic, and environmental factors. Understanding these underlying causes can shed light on why depression affects some individuals more than others.
Biological factors
Imbalances in brain chemistry are a significant factor in depression. Low levels of certain natural chemicals, like dopamine and serotonin, can affect mood regulation.
Deficiencies in tryptophan, an amino acid necessary for serotonin production, may also play a role. These imbalances disrupt the brain’s ability to manage emotions, leading to symptoms of depression.
Genetic influences
A family history of depression significantly increases the risk of developing the condition. If a parent or grandparent has experienced depression, the likelihood of inheriting genetic vulnerabilities is approximately three times higher.
Environmental triggers
External circumstances can act as catalysts for depression. Common triggers include:
- Financial stress or job loss
- Relationship breakdowns or bereavement
- Experiences of abuse (physical, emotional, or sexual)
- Traumatic events, especially during childhood
- Unhealthy lifestyle choices, such as poor diet or lack of exercise
Hormonal changes
Women are twice as likely to experience depression, often linked to hormonal fluctuations caused by PMS, pregnancy, miscarriage, or menopause.
Balancing caregiving responsibilities, work, and personal life can also amplify stress levels, increasing vulnerability.
The Orchestrate approach to depression
At-home treatment for depression
For some, depression treatment begins and ends with a prescription for antidepressants from their GP; an approach that often falls short of providing the comprehensive care patients deserve. This can leave individuals feeling overlooked and unsupported.
→ At Orchestrate Health, we take a different approach. Our expert-led team conducts a thorough assessment to truly understand your unique needs, crafting a personalised, whole-person treatment plan. This typically combines multiple evidence-based therapies, tailored to work synergistically for optimal results.
Understanding the challenges depression can present, we’re able to deliver care remotely, via secure video calls, allowing you to receive effective treatment from the comfort of your home. No travel, no shared groups – just compassionate, one-on-one support dedicated to helping you achieve lasting wellness.
How it works
Our at-home depression treatment is designed to provide seamlessly curated, expert-led care tailored to individual needs.
Integrated treatment
At Orchestrate Health, we connect you with a dedicated specialist who understands your specific challenges. Using evidence-based therapies such as Cognitive Behavioural Therapy (CBT) or Dialectical Behavioural Therapy (DBT) for conditions like bipolar disorder, we help you challenge negative thought patterns, develop healthy coping strategies, and foster self-awareness.
Medication support
If necessary, we may recommend antidepressants as part of your treatment plan, either for short-term relief or long-term support. Your progress will be carefully monitored to ensure medications complement other therapies, enhancing your overall wellbeing.
Live-in support
For more intensive care, we can provide in-home support options including:
- Live-in mental health nurses (RMNs)
- Visiting mental health nurses
- Occupational health specialists
- Therapeutic support workers
- Recovery coaches providing life and psychosocial support
With this whole-person, curated and confidential approach, individuals have the tools and support to regain control in their lives.
Part of the Stepped Care model
Orchestrate Health operates between steps 2 and 4 of the Stepped Care model, delivering personalised care that bridges moderate to intensive mental health support.
The Stepped Care model ensures patients receive the right level of treatment based on their needs, beginning with less intensive therapies and increasing care if required. For individuals needing more tailored or advanced treatment, we provide therapies like CBT, medication support, and live-in care.
By closely monitoring outcomes and adjusting treatment intensity, we offer a responsive and effective path to recovery.


Receive Private Depression Treatment
If you or a loved one are being held back by depression, Orchestrate Health’s team are here to help.
We deliver rapid assessments carried out at home by one of our psychiatric professionals, followed by a uniquely tailored care plan that best suits your needs.
Contact us today for a free depression assessment and start living the first days of your new life.
Orchestrate Health is a private pay service and works outside of the NHS. We are committed to ensuring patients receive the highest standards of care available.
To get in touch about our private depression treatment at home, please call us on 0800 193 3277 or email us here.