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Dr James Warner

Dr Warner is a consultant psychiatrist specialising in older adult’s mental health. He qualified as a doctor from Charing Cross Hospital Medical School in 1986. After further training as a physician he undertook training in psychiatry in Liverpool before a series of academic appointments at Charing Cross Hospital, Royal Free Hospital and then Imperial College London.

He has been a consultant psychiatrist at Central North West London Foundation Trust since 1998 specialising in diagnosis and treatment of dementia, depression, psychosis and other mental illnesses. His training as a physician as well as a psychiatrist enables me to provide holistic care for my patients.

He was elected as chair of the Faculty of Old Age Psychiatry at the Royal College of Psychiatrists in 2012, he is the UK representative for Old Age Psychiatry in the World Psychiatric Association and was appointed National Professional Advisor for old age psychiatry at the Care Quality Commission in 2014. He is also the Medical Director of Red & Yellow Care.

Expertise

James is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

  • Depression
  • Alzheimer’s disease
  • Vascular dementia
  • Lewy body dementia
  • Other dementias
  • Anxiety states including panic disorder and generalised anxiety
  • Schizophrenia and other causes of psychosis
  • Assessment of capacity

Research and Publications

Dr Warner an honorary reader in psychiatry at Imperial College London. His academic interests include research and teaching. He has led several research projects in mental health, dementia and mental capacity. He has published over 60 peer-reviewed articles and co-authored three books. Selected publications include:

Lowery D, Cerga-Pashoja A, Iliffe S, Thuné-Boyle I, Griffin M, Lee J, Bailey A, Bhattacharya R and Warner J ‘The effect of exercise on behavioural and psychological symptoms of dementia: the EVIDEM-E randomised controlled clinical trial’, International Journal of Geriatric Psychiatry 29: 819-827 (2014)

Warner J and Jenkinson J ‘Psychiatry for the elderly in the UK’, The Lancet 381: 1985 (2013)

Graham N and Warner J, Understanding Dementia, BMJ Family Doctor Series, ISBN-13: 978 1 903474-617 (2009)

Warner J and Nomani E, ‘Giving consent in dementia research’, The Lancet 372; 183-185 (2008)

McCarney R, Fisher P, Iliffe S, van Haselen R, Griffin M, van der Meulen J, Warner J ‘Ginkgo biloba for mild to moderate dementia in a community setting: a pragmatic, randomised, double-blind, placebo-controlled trial’, International Journal of Geriatric Psychiatry 23: 1222-1230 (2008)

Warner J, McCarney R, Griffin M, Hill K, Fisher P ‘Participation in dementia research: rates and correlates of capacity to give informed consent’ Journal of Medical Ethics 34: 167-170 (2008)

Warner J, Butler R and Prabhakaran P ‘Which Treatments are effective for cognitive, behavioural and psychological symptoms in dementia?’ Evidence Based Mental Health 6: 69-71 (2003)

Assessment and Treatment

James provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

Appointment prices

Initial assessment of 90 minutes incl. report, priced at £450.

Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

Home visit supplements starting from £100.

Panic disorder


Help with Panic disorder in later life.

It is normal to feel anxious from time to time. Taking a driving test or exam, going on a new “date” or giving a public speech are situations where feeling anxious is normal. However if the anxiety mounts up quickly and for no reason, to the extent that you feel paralysed with fear, heart pounding and feeling sweaty and shaky then that could be a panic attack.

Panic disorder is an illness where someone experiences sudden but fairly short-lived intense feelings of fear, with physical symptoms including shaking, panting, dry mouth, “butterflies”, headache or nausea. If the panic attacks go on for more than a month, the condition is called panic disorder. The difference between panic disorder and general anxiety is that panic tends to come in short intense bursts. Certain things such as spiders, heights or enclosed spaces may trigger panic attacks. In these cases, the condition is called phobia.

Find out more about Panic disorder

What are the symptoms?

Panic attacks usually start suddenly and develop rapidly over minutes to a peak of fear or intense dread, before settling down. Often panic attacks have physical symptoms such as:

  • fluttering in the chest (palpitations)
  • shaking
  • dry mouth
  • shortness of breath
  • dizziness
  • feeling sick or vomiting
  • feeling hot or sweaty

What causes it?

Panic disorder may start for no reason, but it may run in families or start after traumatic experiences. Physical conditions such as heart disease and thyroid gland problems may mimic symptoms of panic. 

Key facts about panic disorder

  • About 1 in 20 people will experience panic attacks in their lifetime, with about 1 in 50 having it in any one year.
  • Panic attacks can occur as part of other conditions such as depression, agoraphobia or post traumatic stress disorder
  • Panic attacks can also be caused by physical illnesses such as lung and gut disorders.

How will it affect me? 

People with panic disorder may lose confidence, stop socialising or have problems at work. In severe cases it can be very disabling, resulting in stopping many usual activities.

How is it diagnosed?

If you think you have panic attacks you should see a doctor. The first thing to do is exclude other conditions that may be causing the panic symptoms. Only after doing this and taking a full account of your background, symptoms, medical history and assessing your current situation, will the doctor be able to confirm the diagnosis.

How is it treated?

A lot can be done to help people who have panic disorder. The mainstay of treatment includes psychological therapies such as relaxation and cognitive behavioural therapy. This will involve meeting with a therapist to set the goals for the treatment, and then meeting up each week for a few weeks and learning about your symptoms, where they come from and how to control/combat them. With an experienced therapist, this is a very effective treatment. In some situations (for example phobias) you can set goals in stages and work each week to achieve these goals.

Sometimes medication can help too. There are a lot of different treatments available including antidepressants which can be effective to treat panic too, and medication which directly combats the physical symptoms.

If symptoms of panic are due to other conditions it is important to look after these illnesses as well. For this reason treatment by a team that can look after all medical and psychological symptoms is important. The majority of people with panic attacks will get better with the right treatment.

We’re Red & Yellow Care, the
health experts for later life.

At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

Meet some of our consultants.

Dr James Warner

Consultant Psychiatrist

Psychiatry

Dr Hema Ananth

Consultant Psychiatrist

Psychiatry

Dr Brian Parsons

Consultant Psychiatrist

Psychiatry

How we can help.

Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

Clear and simple pricing.


First appointment up to 90 minutes, priced at £450.

Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

Home visit supplements starting from £100.

Get started now

Smarter, faster, easier and
more thorough healthcare.

Expert

We have the best consultants and other specialists dedicated to the health of older people.

Fast

We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

Flexible

We fit our service around you. Planning your appointments where and when suits you best.

Comprehensive

We are committed to
giving you the most thorough assessment, treatment and care.

Request an appointment today.

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  • John was inspired by Dr Smith, it’s been a revelation. He’s not as scared about everything, not fearing the future as much and is feeling more positive.

    Deborah – wife and carer
  • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.

    Richard – husband and carer
  • My father has seen a lot of Consultants with his health and Dr Warner was the nicest person we have seen. It’s been quite an exhausting process for my dad and it was lovely to have someone who put him so much at ease.

    Julia – daughter and carer

    Dr Ana Saiz

    Dr Saiz qualified as a medical doctor in the Basque Provinces in the North of Spain; she then undertook psychiatric training in London “Guy’s and St Thomas’ training programme” and obtained the Membership with the Royal College of Psychiatrist in 1995.

    Dr Saiz is a Consultant Psychiatrist specialised in older adults services (people over 50). She has been a Consultant for Oxleas NHS Foundation Trust since 1999. Her special interest is the assessment, diagnosis and treatment of neurodegenerative conditions like dementia. She has been the Clinical Lead for the Memory Services in the Trust for the past three years having contributed to the development of this service and the subsequent accreditation with the Royal College of Psychiatrist.

    She has done a lot of work in primary care settings helping to promote early diagnosis of dementia and early interventions to improve the prognosis of this condition.

    Expertise

    Ana is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Dementia of Alzheimer’s
    • Vascular dementia
    • Lewy-body dementia
    • Other less common types of dementia
    • Advise to families and carers on the impact of dementia on behaviour, and other associated mental health problems
    • Younger people with dementia
    • Depression
    • Anxiety disorders
    • Bipolar disorder
    • Other psychotic conditions
    • Assessment of capacity

    Assessment and Treatment

    Ana provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Rafael Euba

    Dr Rafael Euba trained as a psychiatrist in London, where he has worked for over twenty years. He has extensive experience in all areas of psychiatry and particular expertise in the psychological issues that affect older people, as well as in the area of brain stimulation for the treatment of depression.

    Rafa Euba specialises in Old Age Psychiatry and works as a Consultant and Senior Lecturer in Old Age Psychiatry for Oxleas NHS Foundation Trust, London. He was the first clinician in the UK to use an innovative brain stimulation technology called rTMS to treat depression and has acted as a Specialist Adviser to the Interventional Procedures Programme of the National Institute for Health and Care Excellence in this capacity. He also lectures in St Thomas’ Hospital.

    Over the years Dr Euba has looked after psychologically distressed patients with all psychiatric diagnoses, of varying ages and in many different clinical settings. He has a particular interest in the humanistic aspects of psychiatry, evident in many of his publications in academic and general interest journals. However, he also has extensive experience in the physical and medical aspects of psychiatry.

    He has published two books (one on psychiatry and another on masculinity) and has also written in the general press about psychological and social issues. One of his books was chosen by the Spanish Government as a driver for their policies on gender equality.

    Expertise

    Rafael is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Other dementias
    • Anxiety states including panic disorder and generalised anxiety
    • Schizophrenia and other causes of psychosis
    • Assessment of capacity

    Research and Publications

    Rafael Euba has published numerous articles in the lay and scientific press. The following are some selected publications:

    R. Euba,  T. Chalder,  A. Deale,  S. Wessely. A Comparison of the Characteristics of Chronic Fatigue Syndrome in Primary and Tertiary Care. British Journal of Psychiatry 1996, Vol. 168; pages 121 to 126.

    R. Euba, T. Chalder, P. Wallace, D.J.M. Wright, S. Wessely. Self-Reported Allergy-Related Symptoms and Psychological Morbidity in Primary Care. International Journal of Psychiatry in Medicine 1997, Vol. 27 (1); pages 47 to 56.

    R. Euba. A Psychological Perspective in Late Paraphrenia. European Journal of Psychiatry 2001; Vol. 15: pages 83 to 90.

    R. Euba. Negative Behaviours as the Reason for Referral to a  Liaison Old Age Psychiatrist. The European Journal of Psychiatry, 2005; Vol. 19:155-158.

    R. Euba and A. Saiz.  A comparison of the ethnic distribution in the depressed in-patient population and in the ECT Clinic. Journal of ECT 2006; Vol. 22:235-236.

    R. Euba. Psychiatry for the Uninitiated (Psiquiatría para el No Iniciado) (Book). Desclée de Brouwer, 2007, Bilbao.

    R. Euba and M. Crugel. The Depiction of ECT in the British Press. The Journal of ECT 2009; Vol.25(4):265-269.

    R. Euba. This is a Man’s Book; Este Libro es Cosa de Hombres (Book) Desclée de Brouwer, 2010, Bilbao.

    R. Euba. ECT and Ethnicity. Journal of ECT 2012; Volume 28 – Issue 1 – p 24–26.

    R. Euba. National Stress Awareness Day: Is the fear of social failure making us more anxious than ever? The Independent and MSN, 5 November 2014.

    R. Euba, I. Panihhidina & A. Zamar. Treatment-resistant depression: the experience of the first rTMS Clinic in the UK. Future Neurology 2015 Vol. 10, No. 3, Pages 211-215.

    Assessment and Treatment

    Rafael provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.