Two people walking and talking on the street.

Guide to CAMHS

What is CAMHS and how can they help?

CAMHS are the NHS services that assess and treat young people like you if you’re struggling with poor mental health.

CAMHS is made up of lots of local services across the UK. Services are different across England and Wales and not all of them offer the same support. But generally, CAMHS can support you with lots of different mental health difficulties and conditions, like:

Different terms for CAMHS

You may also hear CAMHS called:

  • Children and Young People’s Mental Health Services (CYPMHS)
  • Specialist CAMHS or Specialist CYPMHS

In Wales, it’s usually called Specialist Child and Adolescent Mental Health Services (SCAMHS).

What treatment and support do CAMHS offer?

CAMHS is made up of lots of different types of mental health professionals. You might work with nurses, therapists, counsellors, psychologists, psychiatrists, social workers and more.

Your CAMHS team will decide your treatment and support, but they should also ask you what you’d prefer and what makes you feel most comfortable. They offer lots of different types of treatment, like:

How do I get help from CAMHS?

  • 1. Find your local CAMHS

    Getting help from CAMHS might be different depending on where you live. You can look up information about your local CAMHS on their website.

    Find your local CAMHS service

  • 2. Make a referral

    For most CAMHS services, you’ll need a referral from your doctor, school, or any other professional who is supporting you. Some local services allow you to refer yourself if you’re above a certain age.

  • 3. Wait for CAMHS to get in touch

    Once you’ve made your referral, CAMHS will get in touch with you by email, letter or phone to arrange an appointment or ask you more questions. If you don’t hear back, you can contact CAMHS for an update. It can be a very long wait for CAMHS so it’s important to look for help elsewhere while you wait.

What will happen at my first appointment?

At your first appointment, you’ll meet a mental health professional from the CAMHS team. They’ll ask you some questions about how you’re feeling, your medical history and any mental health difficulties or diagnoses you’ve had. They may also do some health checks, like taking your pulse or doing blood tests. The questions might not all seem relevant. But they all help your team to get a full picture of your mental health.

The session will usually last fifty minutes to one hour. At the end of your appointment, CAMHS should be able to tell you if they can help you, what support they can offer and how long you’ll need to wait until you start your treatment. This is a good time to ask any questions you have.

Accessibility needs

If you have access needs, you may be able to get the following support at appointments depending on your local service.

  • Interpreters

    If you or your parents/carers are not confident speaking in English, CAMHS can provide an interpreter to help with communication.

  • Deaf CAMHS

    CAMHS has a service specifically for Deaf young people. The specialists working within Deaf CAMHS use British Sign Language (BSL). You can access Deaf CAMHS if you or your parents/carers are Deaf or hearing impaired.

  • Physical disabilities

    CAMHS can make adjustments for physical disabilities, like wheelchair access or seating arrangements. You may also be able to request phone or video appointments.

How to prepare for your first appointment

Being prepared can help you relax and feel more confident before your first appointment. Here are some tips to help you get ready:

  • Write stuff down

    Jot down what you’ve been feeling, how long it’s been going on, and what you want help with.
  • Talk to trusted people

    Share how you’re feeling about the appointment and let them know how they can support you.
  • Plan ahead

    Make sure you know the details of your appointment in advance, especially if it’s in person. Who are you meeting? Where is the appointment? How do you get there? When do you need to leave? Who should you tell about your appointment, like work or school if you need permission to be absent?
  • Make time for fun

    Don’t forget to do something you enjoy before and after your appointment to take care of yourself.

Waiting for CAMHS support

CAMHS can be really busy. This means that they have very long waiting times for appointments and treatment. When they get your referral, they should give you an idea of how long you’ll have to wait, but this could be a while.

This can be frustrating, and it’s really tough when you need the support. But there are things you can do, and people who can help, while you wait.

What to do

Who to talk to

If you’re really struggling while you wait and need urgent support, find out who to contact on our urgent help page.

I need urgent help
A group of young people walking on the street and talking.
I'm a member of a few different clubs, which have given me a lot of support. Sometimes keeping yourself busy is the best option, as it gives you something to do which takes your mind off whatever you're facing.

Ongoing support and treatment from CAMHS

After your first appointment, the type of appointments you have moving forward will depend on your local service, as well as the kind of difficulties you’re experiencing with your mental health. You might meet in person or have phone or video calls. If you’re getting weekly therapy, some sessions could be in-person and others online or over the phone.

If you’re not comfortable with your appointment type, ask for a different one. You can speak to CAMHS reception staff or the person you talk to at appointments.

Questions to ask

Once your treatment starts, you can still ask questions about your appointments and treatment so that you’re comfortable with what's going on. Here are some questions you might want to ask.

  • It’s completely normal to be nervous, but just remember that everyone at CAMHS has your best interest in mind – you’re in good hands.
    Louis
  • CAMHS sometimes gets a bad name, but I certainly found that the majority of CAMHS staff just want to help.
    Hannah

Leaving CAMHS

Leaving CAMHS can be scary. It might be that you no longer need support because you and your team think you’re well enough to leave. Or perhaps you still need support but you’re now too old for CAMHS. If this is the case, you’ll transition to adult mental health services (AMHS).

Whatever happens, your CAMHS team should be there to support you and let you know what to expect.

Being discharged from CAMHS

Being discharged means your support is ending. This is good news. It means you’ve made lots of progress in your journey to recovery, and now you and your team feel you can manage on your own. This can happen at any age.

Before you leave, your team should give you information on what to do if your mental health gets worse again and direct you to other types of support.

If you’re not happy with their choice to discharge you, talk to your CAMHS team. We also have more information below on what to do if you’re not happy with your CAMHS experience.

Transitioning from CAMHS to AMHS

If you have to leave CAMHS because you’ve turned 18, your care team will refer you to adult mental health services (AMHS) for a first appointment. AMHS will then decide if their service is right for you.

To do this, they might look at your medical notes, speak to your CAMHS team and parents/carers, and meet with you to find out what support you need. If they think AMHS can offer you support, they’ll contact you to make an appointment. Your CAMHS worker can help you prepare for any conversations with AMHS and for your first appointment. They may even offer to attend and support you.

There might be a wait before AMHS look at your referral. Waiting times depend on your area and the type of support you need, but they’re often long, just like with CAMHS. Even once AMHS accepts your referral, you could still face delays in starting treatment. This can be frustrating, especially if you were making progress with CAMHS. Our guide to self-care can help while you wait.

The difference between CAMHS and AMHS

You might find that AMHS feels a bit different from CAMHS. Some young people find that:

  • you receive either more support or less support
  • your relationship with your care team is a bit different
  • your support and treatment options are different
  • you work with groups of older adults
  • your team speak to your parents/carers less
  • there’s more of a focus on diagnosis

If you’re finding the move from CAMHS to AMHS difficult, here are some tips to help:

  • Talk to your CAMHS team

    Before you make the move, ask your CAMHS team for as much information as possible. Also tell them what’s important for your care that you’d like to continue.

  • Get support from friends and family

    Talk to your friends and family about how they can support you and how you’re feeling. It’s important to ask for help when you need it.

  • Speak to an organisation or helpline

    Organisations like Childline have helplines, email services and webchats that can support you.

A person thinking, sat on the sofa.
I had all my diagnoses changed in AMHS. It didn’t happen straight away, and the changes have been hard-fought, but I finally feel like I understand myself better.

What if I have a problem with CAMHS?

No matter what support you’re getting, you should always expect fair treatment from CAMHS. They should always:

  • treat you with respect
  • avoid discrimination
  • provide clear information about their services
  • involve you in treatment decisions
  • listen to your opinions
  • answer your questions
  • explain how to file a complaint
  • help you create a care plan that works for you
  • keep your personal information private

If you’re unhappy with your experience at CAMHS, let your team know so you can try and agree on what you need. You could ask for:

  • a different therapist
  • support that matches your cultural or religious needs
  • a support worker of a different gender
  • an interpreter or translator
  • a video, phone or in-person appointment

Discrimination is never okay

Being treated unfairly because of your race, gender, disability or sexuality is never okay.

If you think you’ve experienced discrimination within CAMHS, you should always speak up. Start by speaking to someone in your CAMHS team.

You can also contact your local PALS (Patient Advice Liaison Service) at your hospital for confidential advice and support.

If they don’t listen, you can make a formal complaint. Find out how below.

How to make a complaint

If you’ve tried speaking with a member of your CAMHS team and you’re still unhappy with how things have been handled, you can make a formal complaint. Here’s how:

  • 1. Write your complaint

    You can complain by post, email, or phone. You can also use a BSL interpreter if needed. Make sure to include your name, contact info, and details about the service you’re complaining about.

  • 2. Send your complaint

    Send your complaint to the NHS or to your local CAMHS.

  • 3. Wait for a response

    The NHS should reply within three working days and keep you updated during their investigation. You’ll receive a written response once the investigation is complete.

For more details on how to complain to the NHS, take a look on the NHS website.

How to complain to NHS England

If you're not happy with the results of your complaint, you can contact the Parliamentary and Health Service Ombudsman. You can also write to your MP who can complain on your behalf. If none of this works, you could speak to a solicitor about your options for taking legal action against CAMHS.

Get help now

If you can’t get help from CAMHS or you’re on a waiting list, these organisations and helplines can support you while you wait.

Patient Information Forum Trusted Information Creator (PIF TICK) logo

This page was last reviewed in March 2025.

It was co-created with young people with lived experience of CAMHS.

We will next review the page in 2028.

YoungMinds is a proud member of PIF TICK – the UK's quality mark for trusted health information.