Hammersmith & Fulham Talking Therapies

Hammersmith and Fulham Talking Therapies (formerly Back on Track) provides psychological therapies for people over 18 who have a GP or live in the London Borough of Hammersmith and Fulham. We help you with common problems like stress, anxiety, and depression. This service is provided free of charge by the NHS.

Talking Therapies help people with common problems like stress, anxiety, and depression.

How can it help me?

We can help people with mild to moderate mental health issues. Our support can help you to:

• Work out what you want to change
• Recognise why you feel like this
• Learn new ways of coping
• Better manage your difficulties

Is talking therapies for me?

We use a range of psychological therapies to treat anxiety, low mood, and depression.

Anxiety
This might feel like some or all of these:

• Feeling worried about things all the time
• Finding it hard to sleep or waking up with anxious thoughts racing through your mind
• Avoiding situations or things you’d like to do because you feel anxious
• Exhausted because you feel on edge all the time
• Upsetting thoughts that you can’t seem to get rid of
• Intense fear of specific objects, situations, or activities
• Sudden, overwhelming feelings of panic.

Low mood or depression

This might feel like some or all of these:

• Feeling sad a lot of the time
• Not enjoying things like you used to
• Not having any energy
• Changes in your appetite.

Who is this service not suitable for?

Service users need to be motivated to attend and engage in regular psychological therapy. Those with the following mental health conditions are unlikely to benefit from the brief, structured help we provide. We can't see people where there is:

• Active risk of harm to self, current suicidal intent, a recent suicide attempt, or if still in crisis
• A diagnosed personality disorder or personality traits that would make engagement in a brief psychological intervention likely to be ineffective, unhelpful, and contravene NICE guidance
• Complex needs requiring multi-disciplinary input or longer-term psychological input. Examples include severe OCD, chronic agoraphobia, complex PTSD, such as following repeated/ongoing trauma or victims of significant torture
• Drug and alcohol misuse as a primary problem or level of misuse likely to prevent engagement in regular psychological therapy
• Significant psychosocial or physical health factors that prevent engagement in regular psychological therapy or require input from a multi-disciplinary team. For example, where there are ongoing physical health investigations or legal cases
• Where ongoing home visits are required.

​​​​​​​The service can also work with younger people (aged 16 to 17 years), but only if they are referred by their general practitioner (GP) or the Child and Adolescent Mental Health Services (CAMHS) team. Self-referrals are only accepted for adults (age 18+).