Step 4 Psychology Service

This service offers psychological assessment and treatment (individual and groups) to adults with complex psychological/mental health difficulties.

Our service is for those aged 16 years and over and registered with a GP. The team provide psychological therapy for people who have mental health/psychological difficulties of a chronicity and complexity that are unsuitable for intervention with a lower step of care.

The service is provided in the City and County (contact details for each service below).


Accessing our services

We accept referrals that are made through healthcare professionals.


Service opening hours

9.00 am – 5.00 pm Monday to Friday (County Service).

8.30am- 5.00pm (City Service)


Contact us

County Service

City Service

  • Telephone: 0115 844 0526
  • Fax: 0115 8440530
  • Address: St Ann's House, 114 Thorneywood Mount, Nottingham, NG3 2PZ


Information for health professionals

For referrals please contact the team directly.

Lead Clinician

County: Alison Smith, Consultant Clinical Psychologist/ Lead Psychologist for Adult Mental Health

City: Helen Booth, Principal Clinical Psychologist