In the UK, counsellors typically work on specific issues over a shorter term (a few months). Psychotherapists often work at greater depth and over a longer period. Counselling psychologists and clinical psychologists have doctoral-level training and can work with more complex mental health conditions. In practice, there's a lot of overlap — what matters most is finding someone you feel comfortable with.
A psychiatrist is a medical doctor who can diagnose mental health conditions and prescribe medication. A psychologist or therapist provides talking therapy. Many people see both — a psychiatrist for medication and a therapist for psychological support.
No. You can contact any private therapist directly. No referral is needed. However, if you're considering NHS therapy (like IAPT), you can self-refer or ask your GP.
Yes. Research shows online therapy is as effective as face-to-face for most common concerns including anxiety, depression, and PTSD. Many people prefer it for convenience, accessibility, or comfort. All therapists on our online therapy page are experienced in remote work.
Start by thinking about three things: what you want help with (anxiety, trauma, relationships, etc.), your budget, and whether you want in-person or online sessions. Then browse our directory pages — by speciality, by price, or by location. Read the tables, find a few names that resonate, and reach out. Most therapists offer a free initial chat so you can get a feel for whether you click.
It's completely normal — and important — to try someone and decide they're not for you. The therapeutic relationship is the strongest predictor of good outcomes. If it doesn't feel right after a couple of sessions, try someone else. No therapist worth their salt will be offended.
Look for registration with a UK professional body: BACP (British Association for Counselling and Psychotherapy), UKCP (UK Council for Psychotherapy), NCS (National Counselling Society), or HCPC (Health and Care Professions Council) for practitioner psychologists. Every therapist on Therapist1.co.uk is registered with at least one of these.
It depends on your concern and preference. CBT is structured and practical — good for anxiety and depression. EMDR is designed for trauma. Psychodynamic therapy explores deeper patterns and early experiences. Person-centred therapy is warm and non-directive. See our modalities page for a full overview with therapist listings for each.
The first session is usually an assessment. The therapist will ask about what brings you to therapy, your history, and what you're hoping for. It's also your chance to ask questions and see if you feel comfortable. There's no pressure to commit — many therapists offer this initial session at a reduced rate or free.
It varies enormously. Some people get what they need in 6–8 sessions (common with CBT). Others work with a therapist for a year or more, especially for deep-rooted issues. There's no "right" length — it's between you and your therapist, and you can stop at any time.
Typically once a week, at the same day and time. Some people go twice a week; others go fortnightly. You'll agree on a rhythm that works for you and your therapist.
Yes, with very limited exceptions. Therapists are bound by professional confidentiality. The main exceptions are if there's a serious risk of harm to yourself or others, or if required by law (e.g., court order). Your therapist will explain these limits at the start.
Private therapy in the UK typically ranges from £40 to £100+ per 50-minute session. Prices vary by location (London is more expensive), therapist experience, and modality. Browse our price-bracketed pages to find therapists within your budget. Many therapists offer concessionary rates.
Yes. The NHS offers free talking therapies through IAPT (Improving Access to Psychological Therapies) — you can self-refer online. However, waiting lists can be long (weeks to months), and the number of sessions is usually capped (typically 6–12). Private therapy is an alternative if you want to start sooner, see someone longer-term, or have more choice.
Each therapist sets their own cancellation policy. Common practice is 24–48 hours' notice for free cancellation; less notice may incur a partial or full charge. Check when you first book.
Many UK insurers (Bupa, AXA, Vitality, Aviva) cover therapy — but usually only with therapists on their approved register. Check with your insurer. Not all therapists listed on Therapist1.co.uk accept insurance, so ask when you enquire.