The best psychiatrists and counsellors in London

The best psychiatrists and counsellors in London

Our guide to the best psychiatrists and counsellors in London showcases elite professionals renowned for their expertise, discretion, and tailored approach. Offering private consultations, luxury retreats, and on-demand telehealth, they provide support designed for the pressures, wellbeing, and resilience of private and high-net-worth clients.

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The best psychiatrists & counsellors: the complete list

Click on the individual names to be directed to more detailed profiles of each adviser on The Spear’s 500 website. The table is ordered by ranking and then alphabetically by surname.

Methodology: how we choose our recommendations

Each year, the Spear’s Research Unit reassesses and refreshes its rankings of the leading providers in each sector by gathering data from and about the advisers and firms themselves, assessing submission forms, collating nominations, carrying out peer reviews, reviewing data from third-party sources, gathering references and recommendations, canvassing experts and conducting hundreds of interviews.

Advisers are evaluated using a proprietary scoring system that assigns different weightings to certain attributes. These scores feed directly into each new set of rankings in the Spear’s Indices. Each of these indices are published first online (according to the research calendar) and then in print. Print publication takes the form of the annual Spear’s 500 directory, which includes the top advisers in every index.

[See also: A guide to the Spear’s 500: Everything you need to know]

Each featured adviser is profiled on spears500.com. The site allows users to search the Spear’s database of more than 4,000 entities to find one (or more) to meet their specific requirements by filtering for specific attributes such as an adviser’s location, their specialist expertise and information about their client base.

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The best psychiatrists & counsellors: Some names to know

Cosmo Duff Gordon

  • Focus: Addiction treatment
  • Position: Founder and clinical supervisor
  • Firm: Start2Stop

Dr Cosmo Duff Gordon is a chartered psychologist and addiction treatment specialist, who founded his own clinic, Start2Stop, in 2010. Start2Stop has since become one of the go-to outpatient clinics in London for U/HNW seeking addiction recovery treatments and sober living support. The centre, which has two different locations in South Kensington, also provides residential secondary and tertiary care, to ensure patients are cared for at every step of the rehabilitation process.

Read Cosmo Duff Gordon’s full profile on Spears500.com

Jon Goldin

  • Focus: Child psychology
  • Position: Consultant psychiatrist
  • Firm: The Soke

Dr Jon Goldin is a consultant psychiatrist at multidisciplinary mental health centre, The Soke. With over two decades of experience in the field of child and adolescent psychiatry at Great Ormond Street Hospital for Children, Goldin specialises in the assessment and treatment of ADHD, anxiety, behavioural problems, childhood depression and paediatric psychiatry.

He can also help young people manage eating disorders, self-harm issues, school refusal and OCD, and understand the connection between social media and mental health.

Read Jon Goldin’s full profile on Spears500.com

Katie Au

Dr Katie Au has a private practice as a consultant psychiatrist at the Sloane Court Clinic in Chelsea. A specialist in eating disorders, she also works with patients living with anxiety, depression, and bipolar and psychotic disorders.

She has expertise in assessing and managing conditions such as anorexia, bulimia, binge-eating disorder and avoidant restrictive food intake disorder, as well as complex presentations; for example when an eating disorder is accompanied by autism, a personality disorder or other psychiatric or medical conditions.

Read Katie Au’s full profile on Spears500.com

Stephen Pereira

Over his three decades practising as a psychiatrist, Dr Stephen Pereira has become attuned to the needs of City high-fliers and Mayfair money managers. At The Althea Practice, he develops strategies to help high-powered executives and business owners cope with stress and ‘manage their minds’, he tells Spear’s, favouring preventative measures wherever possible.

His high-profile clients – who have spoken openly about their work with him – include James Middleton and ITV News At Ten presenter Tom Bradby, who he treated for insomnia, as well as former Lloyds Banking Group head António Horta-Osório.

Read Stephen Pereira’s full profile on Spears500.com

  • Click here to order a print copy of The Spear’s 500.
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  • For further information about rankings, please email [email protected]; we aim to respond to all queries within two working days.
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  • If you have missed calendar deadlines for our research cycles in 2025, you can still register your interest for updates about upcoming research and rankings.


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