How do you get the GP to sign you off long term?

Looking for sone advise please I'm currently being signed off 4 weeks at a time and the anxiety about extending it each time is taking its toll. I really think 6 months would be better. Medical reasons aside this will definitely still be the case in 6 months so how can I get the GP to do a longer fit note? Thank you
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Probably depends what the reason your signed off for is. 6 months would be a very long time to sign someone off for cant imagine many doctors would do that.

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