Updated on : 3-17-2026
person sitting in a corner with knees folded and arms crossed around legs looking upset

Mental health conditions are a leading cause of workplace absence in the UK, yet many hesitate to seek help. Some worry their symptoms aren’t serious enough; others feel burdened by responsibilities and fear that requesting time off could put their job at risk.

If any of this feels familiar, you may need support. Whether you’re experiencing anxiety, depression, or stress, it’s important to know you have the same rights as those experiencing physical illness, and by understanding how to get a sick note for mental health, you can take the first step to recovery.

Who Can Issue a Sick Note?

As of 2022, doctors, nurses, occupational therapists, pharmacists, and physiotherapists can all provide fit notes. You don’t need to see a GP in person.

Our online doctors are GMC-registered and NHS-trained. If getting to a surgery feels like too much right now, a same-day consultation in a familiar private setting can be a more comfortable and convenient alternative. Hola Health’s NHS-trained GPs can assess you and issue a fit note quickly, minimising the stress of waiting rooms and lengthy delays.

Can You Get a Sick Note for Mental Health?

A sick note or fit note can be given for any condition affecting your work. Under UK law, mental health is treated the same as physical health.

Common reasons for a mental health sick note include anxiety, depression, stress, burnout, and panic disorder. If your mental health impairs your concentration, sleep, or daily functioning, it’s time to pause, reach out to loved ones, and seek support from a healthcare professional.

Mental Health Sick Leave: What Are Your Rights?

Taking leave for mental health is fully recognised and protected by employment law. You are entitled to time off when unwell, and mental health conditions carry the same weight as physical illness for statutory sick pay and workplace support.

If your condition is long-term and substantially affects your daily life, it may also fall under the Equality Act 2010, meaning your employer has a legal duty to consider reasonable adjustments rather than treating absence as a disciplinary matter.

What Does Your Employer See on a Sick Note for Anxiety?

It’s natural to feel worried about the information your employer will receive. Discussions around mental health are deeply personal and can leave many feeling exposed.

A fit note gives your employer one of two assessments: either stating you are not fit for work, or that you may be fit for work with adjustments such as a phased return, altered hours, or the option to work from home.

Your healthcare professional is not required to specify a diagnosis or provide detailed clinical records. They can instead describe the impact, such as noting your mental health affects your concentration, without assigning a label. If you have concerns, raise them during your appointment to ensure you receive appropriate support.

How to Get Signed Off Work for Anxiety

If anxiety is affecting your ability to work, you can get signed off by speaking to any registered healthcare professional, including an online GP, who will assess how your symptoms are impacting your day-to-day functioning and issue a fit note if appropriate.

Remember, taking the time you need gives you the best chance at a full recovery and ensures that you have support and reasonable adjustments in place when you return.

How to Get a Sick Note for Mental Health

The process is more straightforward than most expect. Speak with a registered healthcare professional (in person or online) who will listen and determine how your condition affects your work.

Be as open as you can about your day-to-day experience. Explaining how your condition influences your life, such as disrupted sleep, difficulty concentrating, or inability to leave the house, provides the clearest picture for assessment.

For an absence of seven days or less, you do not need a fit note as your employer can ask you to self-certify. Beyond seven consecutive days, including weekends and bank holidays, a fit note is required. You may also need an extended fit note for ongoing conditions.

Get the Support You Need Now

Speaking about your mental health can be difficult. Hola Health’s NHS-registered GPs are available for same-day online consultations, seven days a week. Whether you need a sick note for mental health, guidance on your options, or simply a professional to talk things through with, booking takes just a few minutes.

Book your consultation and get a sick note for mental health today. 

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