When I was very ill and my meds weren't helping, my GP referred me to the Consultant Psychiatrist for my area. I saw him for 4 appointments while I got more stable. After those 4 appointments, someone would normally be moved on to one of the regular psychiatrists for ongoing maintenance. In my case, due to my needs/treatment plan, as well as having an excellent GP, I was referred back to my GP for medication etc maintenance.
I don't know how it works in other areas though, and this was 2005, so things may have changed since then.
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