Initial GP Letter
Created by
Rebecca Thompson
Specialty
Psychologist
Last edited
10/20/2026
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About this template
A concise letter template for communicating an initial mental health consultation to a referring clinician. It covers the referral details, relevant session findings, DASS results, treatment plan, follow-up timing, and clinician contact information.
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24/05/2024
Dr Sarah Jenkins Bayside Family Medical Practice, 42 Ocean Street Double Bay, NSW 2028
Re: Liam O'Connor - Generalized anxiety and work-related stress
Dear Dr Jenkins,
Thank you for referring Liam to me at the Harbourview Psychology Clinic, whom I saw for an initial consultation on 24/05/2024.
Liam presented with a 6-month history of escalating worry, sleep-onset insomnia, and somatic tension, precipitated by a corporate restructuring at his workplace. He reported difficulty concentrating, daily fatigue, and occasional non-clinical panic symptoms when commuting. He denied any suicidal ideation, intent, or plan, and has no history of self-harm or substance misuse. He continues to take escitalopram (Lexapro®) 10 mg PO daily as prescribed by you, reporting partial symptom relief. Mental state examination revealed a well-groomed male with a mildly anxious affect, normal speech, and intact cognition and insight. His presentation is consistent with Generalized Anxiety Disorder (GAD).
Administration of the DASS-21 today yielded scores in the moderate range for Anxiety (14), the severe range for Stress (28), and the normal range for Depression (6).
Treatment will include
- Psychoeducation regarding the cognitive-behavioural model of anxiety and the physiological stress response.
- Cognitive Behavioural Therapy (CBT) targeting catastrophic thinking, intolerance of uncertainty, and perfectionism.
- Behavioural activation, progressive muscle relaxation (PMR), and sleep hygiene protocols.
I will write to you after the 6th session to update you on Liam's assessment, treatment, and therapeutic progress.
Thank you for referring Liam to us for support at Harbourview Psychology Clinic. If you need to contact me about Liam's psychological care, I would be happy to discuss it with you.
"Sincerely," Dr Marcus Vance Clinical Psychologist, MPsych (Clin), PhD PSY0001849201 (02) 9555 0192 | m.vance@harbourviewpsych.com.au
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