clinical@seawardclinic.com is for general and collaboration enquiries, and to let us know about a patient you intend to refer. Please do not include patient-identifiable clinical details in ordinary email: a Healthmail address will be available from November.
Referrals are welcome for
- Depression, including recurrent and treatment-resistant depression; assessment for tDCS, and for rTMS by onward referral to a colleague
- Anxiety disorders: generalised, panic, social and health anxiety
- Obsessive-compulsive disorder
- Bipolar disorder and other mood disorders, including diagnostic clarification and ongoing care
- Post-traumatic stress disorder and other trauma-related disorders
- Medication review and reduction: optimisation of current treatment, and deprescribing of long-term psychiatric medication and accumulated polypharmacy
- ADHD assessment and ongoing care after diagnosis
Not suitable: under-18s, patients in crisis or at immediate risk, and patients without a GP we can liaise with.
Consider referring when you see
- Depression that has not responded to two adequate trials of medication, or that keeps returning: a specialist review of the diagnosis and the options, including tDCS and, by referral to a colleague, rTMS.
- Depression that worsened or became agitated on antidepressant treatment, or a family history of bipolar disorder: a question of bipolar spectrum worth settling before the next prescription.
- OCD presenting as “anxiety” or “health anxiety”, often after years of hidden rituals; it responds to specific treatment at the right dose and duration, with ERP alongside.
- Long-term tranquillisers, sleeping tablets or antidepressants that nobody has reviewed, or a list of prescriptions that has grown over the years.
- Recurrent anxiety or depression on a lifelong pattern of variable, interest-driven attention and restlessness, or a positive 6-item ASRS screen: a reason to refer for ADHD assessment, never a diagnosis.
How to refer
- Letter
From 23 November 2026, by Healthmail (address published here in November) or through an encrypted upload link, requested from clinical@seawardclinic.com. Until then, you may let us know about a patient you intend to refer, without identifying details.
Patients who contact us without a letter are asked for your details, and Dr Szigeti contacts you about their care.
- Form
The Seaward Clinic referral form will be available here from November; your practice’s standard letter is equally welcome. Medico-legal instructions do not go through the referral form.
- Please include
-
Needed to triage
- Patient’s full name, date of birth and preferred contact details
- Reason for referral and presenting concerns
- Current and past medication
- Relevant medical history, particularly cardiac history and blood pressure
- Your name, practice and MCRN, and the service requested
Helpful, not required
- Psychiatric or developmental history, previous treatments and their outcome, and family history of mood disorders or ADHD
- Previous assessments or reports; school reports if available
- Recent bloods and ECG, where done
- Language or communication needs, and any risk or safeguarding concern (flag as urgent)
- You receive
Within two weeks of the final assessment, a report with diagnosis or a clear statement that criteria are not met, formulation and treatment plan; where medication is started, the rationale, titration schedule and the monitoring planned; correspondence after every review and medication change.
Prescribing and monitoring
Prescribing stays with the practice while treatment is being started, changed or reduced, and GPs are asked only for routine monitoring, always told exactly what is due: for mood-stabilising medication, the bloods and their frequency; for ADHD medication, blood pressure and heart rate at dose changes and every three to six months on stable treatment, after full cardiovascular screening. Reduction of antidepressants, tranquillisers and accumulated prescriptions is planned, gradual and written down, with a schedule you receive. Once treatment is stable, we offer a structured hand-back to practice-based repeat prescribing with a specialist review as needed, only with your agreement; for ADHD, after twelve months of stability with an annual review.
All treatment options are discussed with the patient before anything is prescribed or started, including their risks and benefits.
Clinical responsibility and records
While a patient waits for the first appointment, responsibility for their care remains with the referring GP; from the first appointment it is shared, and a safety plan is completed with the patient. The clinical record is held in an ISO 27001-certified system hosted in EU data centres; clinical documents travel through an end-to-end encrypted link, never as ordinary attachments; consultation notes may be drafted with an AI scribe under full clinician review, with the patient’s recorded agreement.
Questions from GPs
Can a patient self-refer?
Patients may contact us directly. We ask for a referral letter or, failing that, for their GP’s details, and Dr Szigeti contacts the GP about their care.
Do you offer urgent appointments?
Seaward Clinic is not an emergency service. Urgent reviews can often be arranged by appointment for existing patients; patients in crisis should use the usual emergency pathways.
Can psychologists and therapists refer?
Yes, and there is no referral to write: the client contacts us directly and gives us their GP’s details; a brief summary from you is welcome, with the client’s written consent, through an encrypted upload link. See Referrals from other clinicians below.
What does an assessment cost the patient?
Psychiatric assessment €500; follow-up €180; medication review and reduction €500; ADHD assessment €500 + €500 in two one-hour stages, report included; rTMS charged by the colleague’s clinic that provides it. Fees and insurance
Is a formal referral letter required?
A letter is welcome but not essential: a Healthmail message (from November) or the referral form with the details listed above is enough to triage the patient. Patient-identifiable clinical information never travels by ordinary email.
My patient was diagnosed elsewhere and is on medication. Can you take over?
Yes, for bipolar disorder, depression, ADHD or another condition. Refer for a medication review: Dr Szigeti reviews the diagnosis and the current treatment, continues prescribing and monitoring, and writes to you after every review and medication change. Please include the original diagnostic report and the current prescription.
Can you take over a planned reduction of medication?
Yes. Refer for a medication review and reduction: treatment is optimised where it can work better and, where a reduction is agreed, the schedule is agreed with the patient, written down and shared with you, and the steps that need closer follow-up are seen at the practice. Patients are asked never to stop or change a medicine on their own.
Do you provide rTMS?
Not at Seaward Clinic. Dr Szigeti, who is certified in tDCS and rTMS, assesses whether rTMS is the right option and refers suitable patients to a colleague who provides it, remaining their psychiatrist throughout. tDCS at home under supervision is offered directly.
Is Seaward Clinic a private service? Do you see medical card patients?
Seaward Clinic is a private practice and is not part of the HSE adult ADHD programme or the GMS scheme: fees apply to every patient, and many claim part of the cost from their health insurer. Patients who need a public assessment are referred by you to the local Community Mental Health Team. Video appointments mean distance is not a barrier anywhere in Ireland.
Referrals from other clinicians
Consultant colleagues
For adults already under your care who need an ADHD assessment, or a second specialist opinion, there are two pathways: assessment only, in which the patient stays with you throughout and you decide what happens after the report; and assessment and initiation, in which Dr Szigeti starts treatment after cardiovascular screening where controlled-drug prescribing is proposed, and hands back once the patient is stable, typically within three to six months, with a handover letter setting out the regimen and the review schedule.
- How to refer. A brief letter or, from November, the Seaward Clinic referral form, by Healthmail (address published on this page from November) or through an encrypted upload link on request; never by ordinary email.
- What you receive. Within two weeks of the second stage, a report by Healthmail: diagnosis, or a clear statement that the findings do not support ADHD; differential and comorbidity; a treatment plan you can run yourself, with monitoring suggestions.
- Responsibility. Until the first appointment, care remains with you; from then on it is shared, and a safety plan is agreed with the patient. You remain the treating psychiatrist.
- Public services. Seaward Clinic cannot take referrals from community or hospital mental health services. A patient who asks you about a private assessment can contact us directly and remain on your list; with their consent, a copy of the report goes to your team.
Psychologists and psychotherapists
When a client needs a psychiatric assessment, a diagnosis to be confirmed or ruled out, or a review of medication that is not working, there is no referral to write.
- Your client contacts us directly and gives us their GP’s details (name, practice address and telephone number), so that the GP can be kept informed; a GP referral letter is welcome where there is one.
- A note from you is welcome, not required: with the client’s written consent, a brief summary through an encrypted upload link provided on request. Healthmail is not open to psychologists and psychotherapists, so the encrypted link is used in both directions; never ordinary email.
- What comes back. With the client’s written consent, a written summary of the findings and the plan within two weeks of the assessment, by encrypted link, and correspondence after every medication change. Therapy continues with you: Dr Szigeti does not provide psychotherapy, and works alongside the therapist his patients see.
- Prescribing stays with Dr Szigeti while treatment is started, changed or reduced; routine monitoring is agreed with the GP.
To talk a case through before you refer, or before you mention us to a client: +353 83 017 1419, and we call you back within one working day; questions and collaboration, without patient documents, to clinical@seawardclinic.com. There is no financial arrangement of any kind between Seaward Clinic and any referrer.