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.

Image of two women sat together, deep in conversation

You’ll find the key information about Talking Therapies below. If you’re still not sure
about the support you need, are finding things hard, or would simply like ideas to
help your mental health, then complete the online referral form and our team
will be in touch to book an assessment with one of our practitioners.

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.

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.

We use a range of talking therapies to help you feel better. Our approaches use evidence-based therapies. This means there's proof they are likely to make you feel better. Cognitive behavioural therapy (CBT) is one we use a lot. Here are some examples of the services we offer:

CBT for individuals
Using Cognitive-Behavioural Therapy (CBT)-based approaches we work with you to identify unhelpful patterns of thinking and behaviours that may be keeping your difficulties going. You’ll then learn strategies to break out of negative cycles and begin on your path to recovery.

BCT for couples
Behavioural Couples Therapy (BCT) is an evidence based treatment for depression. It is suitable for couples where low mood or depression affects one or both partners and leads to distress within the relationship.

Guided self-help
Using workbooks and working through defined tasks you learn ways of coping with stress and feelings of low mood to help you manage your difficulties.

Counselling for depression
We talk about struggles experienced in the past and the present including exploring feelings to better understand your concerns and the impact key moments have had on you.

Group sessions and workshops
Join group sessions and learn to control stress and improve general wellbeing, focus on mindfulness, better cope with long-term conditions, improve self-esteem and assertiveness, and ease sleep problems.

Signposting and other services
After speaking with you, we may refer you to other better-suited local NHS or charitable services to help you plan next steps to improving your mental wellbeing.

Making a referral
There are two easy ways to access talking therapies:

1. Refer yourself
You can self-refer to Talking Therapies. You should be over 18 and be registered with a GP in the borough of Hammersmith and Fulham. To self-refer, you can either fill out an online form, call our freephone number or email us.

Online form: Complete the referral form here
Call (freephone number): 0300 123 1156
Email: wlm-tr.talkingtherapies.handf@nhs.net

2. Request your GP to refer you
Your doctor, social worker, employment advisor, or any other professional can make a referral for you.

What next?
After we receive your referral, we will contact you within 7–14 days to book an assessment. Assessments are usually over the phone lasting between 30 to 60 minutes. All our calls are from a withheld number. During the assessment, the therapist will ask you about your difficulties and then suggest a treatment option.

Our sessions are structured and take place over a short time, usually about 8 weeks to 10 weeks. If we are not the most appropriate service for you, we will explain the reason and suggest alternative services, where possible. You can expect to wait between 2 to 5 months to start treatment, depending on the type of treatment you need and your availability.

What to expect during therapy
Your therapist will recommend a treatment that is most suited to you and you can access therapy in different ways. It can be face-to-face, in groups, or using video on your mobile phone, tablet, or computer.

Conversations are with non-judgemental professional therapists who will keep your information confidential. If for any reason we need to share information with someone else involved in your care like your GP, we would endeavour to discuss that with you first. We are part of the NHS and all services are offered free of

We currently have therapists who can offer assessments and therapy in a range of languages, which can be discussed when booking your appointment.

We don’t currently deliver any workshops or groups in languages other than English.

If we can’t provide a therapist who speaks your language, we’ll organise for an interpreter to be present for your therapy sessions.

Self-help leaflets and websites can help you learn more about your difficulties, which can help you look after yourself and feel more in control of your feelings. We recommend resources from the following websites as these provide accurate, helpful, and safe information.

Local sources of support

The Carers Network
The Carers Network supports unpaid adult carers looking after someone over 18 who is living in Hammersmith and Fulham.

Visit the Carers Network website.

Action on Disability support
Adults, their families, or carers who may be entitled to or are receiving Adult Social Care. Hammersmith and Fulham Action for Disability (HAFAD) provides the service and it's available to those who live in or use the services of Hammersmith and Fulham Council.

Visit the Action on Disability website.


Mental health and wellbeing websites

You can download a range of self-help leaflets in accessible formats, and listen to or watch with British Sign Language (BSL).

You can download a range of worksheets on common conditions from the Centre
for Clinical Investigations.

We value your feedback as it helps us monitor and improve our services and deliver better patient-centred care.

Please take a few moments to let us know what you think of our services by completing our online friends and family test survey. (Please quote Hammersmith and Fulham Talking Therapies).

Watch a video tour of the Hammersmith and Fulham talking therapies services