Women's Mental Health

The Eton Approach

At Eton, we treat the whole person, not the diagnosis. For women's mental health that means refusing to separate psychiatry from gynaecology, or neurodivergence from physical health. Three principles guide every Psych-Gynae case:

1. Integrated, not referred. Your psychiatrist and Miss Beski write one plan together. You do not carry information between specialists.
2. Neuro-affirmative. We assume your brain is not broken. We identify how it works, what supports it, and what environments make it thrive. Diagnosis is a tool, not a verdict.
3. Evidence-based and cycle-aware. We use the current literature on oestrogen–dopamine interaction, PMDD, and perimenopausal cognition to inform prescribing, including cycle-based dosing where clinically indicated.

All Eton clinicians follow NICE-aligned assessment pathways and GMC-regulated prescribing standards. Our ADHD and autism team has delivered 800+ neurodevelopmental assessments for NHS Wales, giving our female-focused pathway an unusually deep base of comparative clinical experience. We publish our fees transparently and do not offer assessment products we cannot clinically justify.

What to Expect

Your first contact is a short, no-pressure triage conversation so we can confirm the pathway is appropriate and explain costs up front.

Your assessments are thorough rather than rushed. Expect a full psychiatric interview (60–90 minutes) and a separate gynaecological review with Miss Beski. You will not be asked to repeat your story from scratch across clinicians; we share structured notes internally with your consent.

Your plan will arrive as a single document covering psychiatric medication, any hormonal treatment, therapy recommendations, and lifestyle actions. Where cycle-based dosing is appropriate, we will explain the rationale, the evidence base, and the monitoring plan in plain language.

Your follow-up is proactive. Women's hormonal profiles change across the cycle, across perimenopause, and after childbirth, so your plan is reviewed at defined intervals rather than only when something goes wrong.

The Holistic Neurodiversity Review with Dr Mukherjee is optional and can be booked at any point alongside your psychiatric care. It is particularly valued by patients who want to pair medication with practical changes to sleep, routines, and metabolic health.

Frequently Asked Questions

Q: What is the Eton Psych-Gynae Pathway? A: It is an integrated service that combines consultant psychiatry, psychology, and specialist gynaecology into one Multidisciplinary Team plan for women and AFAB adults whose mental health is affected by hormonal cycles or life stages.

Q: Who is the Psych-Gynae Pathway suitable for? A: Women with PMDD, ADHD, autism, or complex emotional regulation, particularly where symptoms worsen in the luteal phase, during perimenopause, or in menopause.

Q: What is cycle-based ADHD dosing? A: Adjusting ADHD medication dose or timing across the menstrual cycle to account for hormonal changes in dopamine signalling. It is prescribed case-by-case, with clear monitoring.

Q: Do I need a GP referral? A: No. You can self-refer to Eton Psychiatrists. If you have an existing GP or NHS team, we will coordinate with them with your consent.

Q: What is the Holistic Neurodiversity Review? A: A 30-minute consultation with Dr Bhasha Mukherjee, a GP specialising in lifestyle medicine and neurodiversity, reviewing sleep, hormones, metabolism, nervous-system regulation, and executive function alongside your ADHD or autism care.

Q: Is this service available online? A: Yes. The Psych-Gynae Pathway is delivered both at our Harley Street rooms and online across the UK.

Q: Will my ADHD medication be changed if I join the pathway? A: Not automatically. Medication is reviewed in the context of your hormonal profile and only adjusted where there is clinical benefit.

Fees & Pricing