Blue Mountains Psychiatric Services

Dr Raphael Fraser provides psychiatric services and treatment for a range of mental health conditions. He offers confidential assessment, diagnosis and management plans for people of all ages.

He is available five days a week at the Parke St Specialist Centre in Katoomba.

A referral from your general practitioner is needed in order to attract Medicare rebates, which covers most of the fee.

Treatment and Services are available for:


Anxiety Disorders
It's normal and healthy to feel anxious sometimes. Anxiety actually helps us. It makes us alert and helps us do things well. For example, if we are a bit anxious before playing sport or doing an exam, it can make us perform better. If we are in danger, feeling anxious can help us escape from the situation. However, if we become too anxious, it can stop us thinking clearly. When anxiety becomes so overwhelming that it affects your day-to-day life, it becomes a disorder.
Post-traumatic stress disorder (PTSD) is a mental illness. It comes after an event where a person is exposed to actual or threatened death, serious injury or sexual violence. The event could be something that has happened to you, or something you have seen. People with PTSD have intrusive memories of the event. The memories affect their physical and mental health, relationships, work and daily activities. PTSD affects about 4% of adults in Australia and New Zealand. It is diagnosed more in women than in men. War veterans and emergency services workers generally have higher rates of PTSD. There are effective treatments available for PTSD. With the right help, you have a good chance of recovery.
Attention deficit hyperactivity disorder (ADHD) is a mental health condition. In people with ADHD, there are differences in the parts of the brain that control our ability to plan, organise and focus. Symptoms start in childhood. About half of children with ADHD continue to have problems into adulthood. Sometimes ADHD is missed in childhood and only gets noticed later in life. A recent study found that up to 3% of Australian adults have ADHD. This is likely to be the same across different countries. Having ADHD can make family life, study, work and friendships difficult.
Depression is a mental illness that makes a person feel sad or unable to enjoy anything for weeks at a time. They can also have other symptoms, such as having no energy, being irritable, or having problems with sleep. In severe cases, someone might even think about suicide. Depression can stop people being able to do their job, study, or look after themselves and their family. It can be a short-term illness, or it can come and go throughout a person’s life. With the right treatment, someone with depression can recover and live a full, satisfying life.
Bipolar disorder is a mental illness that affects a persons mood and energy levels. Everyone has highs and lows, but people with bipolar have extreme ups and downs in mood. These mood changes can be distressing for them and other people. They can affect how they live their life, and even put them in risky situations. Between these mood swings, however, they feel and act normally. People with bipolar disorder have times when their highs are extreme and they have too much energy. These highs are called ‘mania’ when severe, or ‘hypomania’ when less severe. Most people with bipolar disorder also have times when they feel extremely down. They can feel hopeless, helpless or empty. This is called bipolar depression. In the past, bipolar disorder was called ‘manic depression’. Bipolar disorder is a lifelong condition, but with the right treatment the symptoms can be well controlled.
Schizophrenia is a mental illness that affects how the brain works. People with schizophrenia experience psychosis, which means they can have serious problems with thinking clearly, emotions, and knowing what is real and what is not. This can include hearing or seeing things that are not there (hallucinations), and having unusual beliefs that are abnormal or not true (delusions). Having psychosis often makes a person want to keep away from other people. They may have problems understanding other people’s emotions, and may feel depressed or irritable.
Psychosis is a general term referring to a state in which a person loses touch with reality in at least some respects. This can involve changes in thinking and experience, and can lead to changes in behaviour and function. Psychosis can occur as part of various psychiatric conditions.
Obsessive-compulsive disorder (OCD) is a mental illness. People with OCD have:
  • obsessions – unwanted thoughts about, for example, dirt and disease, terrible things happening, sex, violence, or religious themes
  • compulsions – overwhelming urges to do activities such as cleaning, checking, counting or praying.
The compulsions make a person with OCD feel (briefly) less guilty or anxious about their unwanted thoughts, which often disgust or horrify them. The obsessive thoughts can be quite overwhelming, while compulsions can take up hours of a person’s day.

Credit: Your Health in Mind

Book your appointment with Dr Raphael Fraser