Watercolour New Zealand community healthcare clinic among native flowers, beside a coastal landscape and mountains

Aotearoa New Zealand • Primary healthcare

GPs, Primary Care & Mental Health Clinics — NZ

Find a starting point for mental health and wellbeing support through general practice, community healthcare and primary care teams. Explore referrals, appointments, culturally responsive care, practical access and urgent-help options.

A gentle note before you begin

You can ask for support even when you are unsure how to describe what is happening. A GP or practice nurse can help explore concerns and discuss next steps. Service availability, eligibility, fees and referral processes vary; confirm details with the provider. This page offers general information, not a diagnosis or medical consultation.

Understanding primary mental health care

Primary care often provides an accessible first conversation about emotional and physical wellbeing. Depending on needs and local services, care may involve a GP, practice nurse, health improvement practitioner, health coach, counsellor or a referral to specialist mental health services. Participating general practices may provide integrated wellbeing support without a formal referral; ask whether your practice offers it.

Patient speaking with a GP during a supportive consultation
Discuss concerns and ask about a plan for follow-up.
Healthcare professional meeting with a parent and young person
Care can be adapted for children, youth and whānau.
Person using a laptop for an online GP appointment
Ask about remote appointments and accessible options.

Find a support pathway

Filter the guidance below by need, support type or audience. This searches the information cards on this page.

Showing all 9 pathways.

Getting started

GP mental health appointments

What to expect when discussing mood, sleep, stress, anxiety, grief or wellbeing with a GP.

Ask about a longer appointment, follow-up and what to do if symptoms change.

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Primary care team

Primary mental health teams

Ask whether your enrolled practice has a health improvement practitioner, health coach or support worker.

Availability varies by practice; some participating services can be accessed without a formal referral.

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Community & culture

Community and culturally responsive clinics

Explore kaupapa Māori, Pacific and community primary healthcare options.

Ask about eligibility, enrolment, interpreters, whānau participation and culturally safe care.

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Specialist referral

Referrals and specialist care

Understand when a GP may refer someone for counselling, psychology, psychiatry or community mental health assessment.

Ask how referrals are triaged, possible waits, and whether alternatives or follow-up are available.

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Young people

Children, rangatahi and families

Find age-appropriate first-contact care, with consideration for privacy, assent, consent and family/whānau involvement.

Discuss school support, child or youth services and what information can be shared.

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Adult & older care

Adults and older people

Explore continuing care, medication review, physical wellbeing, chronic illness and older-adult needs.

Ask about accessibility, medication interactions, cognition and carer participation where appropriate.

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Fees & rights

Costs, funding and patient rights

Check enrolment, consultation fees, funded support, prescriptions and eligibility before booking.

Ask for estimated costs, free or lower-cost options and how to raise concerns about care.

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Accessible care

Language, disability and online access

Ask for an interpreter, sensory accommodations, communication preferences, accessible facilities or remote appointments.

Check whether appointments can be longer, by phone or video, and whether an advocate may attend.

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Urgent help

Urgent mental health assistance

Routine GP appointments are not emergency mental health services.

Immediate danger: call 111. For a mental health emergency, contact your local crisis team; for brief emotional support call or text 1737.

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Before your appointment

  • Write down your main concerns, when they began and how they affect daily life.
  • Bring a medicine list, relevant health history and any questions you want to ask.
  • Ask for a longer appointment, support person, interpreter or communication adjustments if useful.
  • Discuss what happens next: follow-up dates, treatment choices, referrals, costs and when to seek help sooner.
  • If a suggested approach does not feel right, you can ask questions, discuss alternatives or seek another professional opinion.

Questions worth asking

“What support is available through this practice?” “What are the expected fees and wait times?” “Could an interpreter or family member attend?” “Who do I contact if my wellbeing changes before my next appointment?”

Explore care by topic, audience and location

Support may be relevant to anxiety, low mood, trauma, grief, addiction, ongoing conditions, sleep challenges, stress or changes in daily functioning. Care pathways also differ for children, adults, older people, Māori and Pacific whānau, disabled people, neurodivergent people and people living remotely.

When help cannot wait

Immediate danger: call 111. For a mental health emergency, contact your local mental health crisis team or hospital emergency department. For free brief emotional support, call or text 1737 at any time. These services are different from routine GP appointments.

Aspie Answers Crisis Support Index ↗ · 1737 official service ↗

Frequently asked questions

Can a GP help with mental health even if I do not have a diagnosis?

Yes. You can describe symptoms and how they affect you. A GP can discuss options for support and any assessment that may be useful.

Do I need a referral for a health improvement practitioner?

At participating enrolled general practices, some integrated wellbeing support is available without a formal referral. Check directly with your practice because availability differs.

Will a GP automatically provide autism or ADHD assessments?

No. Neurodevelopmental assessment routes vary. Ask about appropriate specialist assessment providers, qualifications, referral needs and costs.

What if I live rurally or have sensory or communication needs?

Ask about telehealth, interpreters, longer visits, quieter appointment times, accessible premises and referral options in your region.

Are appointments free?

Not necessarily. GP fees vary; some specific wellbeing supports may be funded. Confirm costs and eligibility before booking.