Introduction: The high presentation of anxiety and depression in primary care presents a challenge for modern mental health services. National directives propose an accessible evidence-based service is provided. Services are asked to deliver these services with minimal resources available.Process: The results of an audit of a 3-month pilot self-help clinic for anxiety and depression in Primary Care is reported. Clients referred to the clinic were given a 30-min assessment appointment and self-help materials (usually bibliotherapy) followed up by 15-min-follow-up appointments.Results: Eleven users completed pre, post and 3-month-follow-up clinical outcome measures and satisfaction questionnaires. Results showed both statistical and clinical significance at post intervention. Both users and referral agents positively rated the self-help clinic.Conclusion: The clinic provided brief effective interventions for a number of clients in a busy urban GP clinic. Such results reflect similar findings using this model of service delivery. The limitations of the study are discussed and future research highlighted.