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Get a Sick Note for Depression

Depression is a clinically recognised condition and a valid reason to take time off work, issued by a UK GP with full sensitivity and confidentiality.

You should not have to sit in a waiting room to get the documentation you need. Get a signed GP sick note most same day, all by 9AM next morning. No appointment needed.

✔ Depression, low mood, major depressive disorder and related conditions all covered.
✔ Treated with full clinical sensitivity and confidentiality.
✔ Most same day. All by 9AM next morning. From £47.
✔ Full refund if the GP cannot issue.

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Full consult online
Direct to your inbox
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UK GMC Doctors
Dr Maria Knobel Medical Director · GMC 7495073

Need ongoing support documentation? See also our sick note to give your employer, mental health support letter and stress leave certificate.

Get your medical certificate delivered straight to your inbox from £37

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GMC Registered Doctors
Information Commissioner's Office
In partnership with NHS Doctors


How It Works

01

Complete a short online questionnaire

No appointment required. Complete a short medical questionnaire and upload any supporting evidence.

02

Doctor reviews your evidence

A GMC-registered doctor reviews your submission individually. No automated approvals.
✔ Full refund if the GP cannot issue.

03

Receive your certificate

Certificates arrive most same day, all by 9AM next morning, delivered as a signed PDF direct to your inbox.

Sick Note for Depression

Depression is a leading cause of workplace absence in the UK — HSE figures show that stress, depression, and anxiety together accounted for 22.1 million lost working days in 2024/25. A sick note for employment for depression is a medical document from a GMC-registered doctor confirming that your depression is affecting your ability to work and certifying a period of absence.

MedicalCert issues depression sick notes through GMC-registered UK doctors, same day, with no GP appointment needed. Depression is treated by law in exactly the same way as any physical illness — your employer cannot refuse a valid sick note, and you are entitled to Statutory Sick Pay while signed off.

Depression sick note vs mental health support letter vs stress leave certificate: A sick note for depression certifies your absence from work. A mental health support letter documents your condition for ongoing purposes — housing, university, or workplace adjustments — without necessarily certifying absence. A stress leave certificate is framed around occupational stress rather than clinical depression specifically. If your depression has a significant workplace component, either the stress leave certificate or a standard sick note may be appropriate depending on what your employer requires.

For general guidance on mental health sick notes — including the 7-day rule, sick pay entitlement, SSP changes from April 2026, your legal rights, and what the certificate contains — see our mental health sick note guide. This page covers what is specific to depression.


Depression Symptoms That Affect Fitness for Work

A sick note is issued based on how your symptoms impact your ability to work — not on a formal diagnosis alone. Depression affects people very differently. The following are common functional impairments a doctor considers:

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Persistent low mood and hopelessnessSustained depressive mood making it impossible to engage with work tasks, colleagues, or professional responsibilities.

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Cognitive impairmentDifficulty concentrating, poor memory, slow thinking, or inability to make decisions — particularly debilitating in roles requiring sustained focus or judgement.

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Sleep disturbance and fatigueSevere insomnia or hypersomnia, and persistent exhaustion that makes attendance or safe performance of work duties impossible.

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Withdrawal and inability to leave homeDepression severe enough to prevent leaving the house, commuting, or functioning in a social or workplace environment.

Loss of motivation and anhedoniaComplete loss of interest in work and daily activities — inability to initiate or complete tasks that were previously manageable.

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Physical symptoms of depressionHeadaches, appetite changes, psychomotor agitation or slowing, and physical exhaustion directly caused by depression.


Sick Pay for Depression — Including the April 2026 Changes

If you are signed off with depression, you are entitled to Statutory Sick Pay (SSP) in the same way as any physical illness — provided you meet the eligibility criteria.

Current SSP rules (until 5 April 2026)

SSP is payable from the fourth consecutive day of absence. The first three days are unpaid waiting days. You must earn at least £123 per week (lower earnings limit) to qualify. Current rate: £118.75 per week for up to 28 weeks.

New SSP rules from 6 April 2026 (Employment Rights Act 2025)

From 6 April 2026, significant changes take effect. The three-day waiting period is abolished — SSP is payable from your first day of absence. The lower earnings limit is also removed, meaning all employees qualify regardless of how much they earn. For employees earning below the previous lower earnings limit, SSP will be calculated at 80% of average weekly earnings or the flat rate of £123.25 per week — whichever is lower. These changes make depression-related sick leave more financially accessible, particularly for part-time and lower-income workers.

Your employer may offer enhanced sick pay above SSP under their company sick pay policy — check your employment contract or staff handbook. SSP is the legal minimum, not the maximum.


Your Legal Rights — Depression and Sick Leave


Returning to Work — Reasonable Adjustments for Depression

A sick note for depression can include recommendations for workplace adjustments to support a safe return. If your depression meets the Equality Act disability threshold, your employer has a legal duty to consider these. Common adjustments for depression include:

Phased return — reduced hours building back gradually
Working from home to reduce social and commuting demands
Temporary reduction in workload or responsibility
Flexible start and finish times
Agreed communication method to reduce unplanned contact
Regular supportive check-ins with manager or HR
Absence trigger flexibility to avoid disciplinary action during flare-ups
Referral to Employee Assistance Programme (EAP) or occupational health

If you need documentation specifically focused on workplace modifications rather than absence, a work adjustment certificate provides a more detailed clinical framing for adjustment requests than a standard sick note.


Depression Sick Note FAQs

There is no legal maximum. Duration is determined by clinical assessment — severity, functional impact, and recovery progress. In the first six months, a fit note can cover up to three months at a time. Mild to moderate depression may resolve enough for a return within 2–6 weeks with appropriate support. More severe or recurrent depression may require months of certified absence, reviewed on an ongoing basis. SSP is available for up to 28 weeks if you meet eligibility criteria. From 6 April 2026, SSP will be payable from day one of absence under the Employment Rights Act 2025.
No. A formal diagnosis of major depressive disorder or a specific depressive condition is not required. The doctor assesses your current symptoms and how they are affecting your ability to work. If your depressive symptoms are clinically significant and impairing your work capacity — even without a prior formal diagnosis — a certificate can be issued where appropriate. Be honest and specific about your symptoms when completing the consultation form.
Often yes. Depression meets the Equality Act 2010 disability definition if it has had a substantial and long-term adverse effect on your ability to carry out normal day-to-day activities for 12 months or more (or is likely to). Where this threshold is met, your employer has a legal duty to consider reasonable adjustments and cannot discriminate against you because of your condition. Depression does not need to be permanently disabling — recurring episodes that collectively span 12 months can also qualify. HSE data confirms depression is one of the most common causes of long-term absence, and many sufferers have legal disability protections without having formally declared this.
Yes. Depression affecting your ability to study, attend, or meet academic deadlines is a valid reason for a medical certificate at university. See our dedicated pages for university sick note and student mitigating circumstances letter — these are framed specifically for academic use rather than employment.
For further questions about employer obligations, sick pay, private vs NHS certificates, and backdating, see the mental health sick note FAQ.