Frequently asked questions

Everything you need to know about finding a counsellor and starting therapy.

Finding the right counsellor

How do I know which counsellor is right for me?+

There's no single right answer — but a few things help narrow it down. Start with what you want to work on (anxiety, relationships, trauma etc.), then consider practical factors like location, cost, and whether you want in-person or online sessions. Read a few profiles and notice who you feel drawn to. The therapeutic relationship matters enormously, so trust your gut. Many counsellors offer a free initial call — use it.

What's the difference between a counsellor, therapist, and psychotherapist?+

In the UK these terms often overlap and are used interchangeably. Broadly speaking: counsellors typically offer shorter-term support for specific difficulties; psychotherapists tend to work longer-term with deeper or more complex issues; and 'therapist' is a general term for either. What matters most is whether they're qualified, accredited, and a good fit for what you need.

How do I know if a counsellor is qualified?+

Look for membership or accreditation from a recognised professional body — BACP, UKCP, BPS, or NCPS are the main ones in the UK. Accredited members have met training standards, adhere to an ethical framework, and have regular supervision. All counsellors on Therapist Search display their accreditation, and many include their membership number so you can verify independently.

What do BACP, UKCP, and BPS mean?+

BACP (British Association for Counselling and Psychotherapy), UKCP (UK Council for Psychotherapy), and BPS (British Psychological Society) are the main professional bodies. NCPS (National Counselling and Psychotherapy Society) is another well-regarded body. Accredited or registered members have completed recognised training, undertaken supervised practice hours, and agreed to abide by ethical codes including ongoing professional development.

Is it safe to contact a counsellor directly?+

Yes. All counsellors on Therapist Search are professional practitioners bound by ethical codes. Reaching out doesn't commit you to anything — it's simply an enquiry. Most counsellors welcome initial questions about their approach, availability, and fees before you book a session.

Getting started

What happens in a first session?+

The first session — sometimes called an assessment or initial consultation — is usually a chance for your counsellor to understand what's brought you to therapy and what you're hoping to achieve. You'll also get a feel for their style and whether it's a good fit. It's not unusual to feel nervous; a good counsellor will put you at ease. You don't need to prepare anything — just show up.

How many sessions will I need?+

It varies. Some people benefit from 6–12 focused sessions (common with CBT). Others find that longer-term, open-ended work — sometimes a year or more — is what helps. Your counsellor will usually discuss this with you after the initial assessment. You're never locked in; you can end therapy at any point.

What if I don't click with my counsellor?+

The relationship between you and your counsellor is one of the strongest predictors of whether therapy works. If something feels off, it's worth raising it with them — many counsellors welcome honest feedback and will adjust their approach. If it still doesn't feel right, it's completely okay to find someone else. Searching for the right fit isn't giving up.

Do I need a GP referral to see a counsellor?+

No. You can contact a counsellor on Therapist Search directly — no referral needed. If you'd prefer NHS-funded therapy, your GP can refer you to local IAPT (Talking Therapies) services, though waiting times can vary significantly.

Sessions & fees

How much does counselling cost?+

Fees in the UK typically range from £40 to £150+ per session, with most counsellors charging between £50–£90. Some practitioners offer a sliding scale based on income. You'll find fees displayed on every profile on Therapist Search — use the 'Max fee' filter to search within your budget.

Can I get counselling on the NHS?+

Yes, though availability and waiting times vary. Your GP can refer you to NHS Talking Therapies (formerly IAPT) for conditions like anxiety and depression. Alternatively, you can self-refer at www.nhs.uk/talk-therapies. NHS therapy is usually shorter-term CBT. Private counselling via Therapist Search offers more flexibility in approach, timing, and who you see.

How do I pay for sessions?+

Payment is arranged directly between you and your counsellor — Therapist Search doesn't handle transactions. Most counsellors accept bank transfer, and many also accept cash or card. Some operate through an online payment platform. Payment arrangements are typically agreed at your first session or beforehand.

Are there any fees for using Therapist Search?+

No — searching and browsing profiles on Therapist Search is completely free for clients. There is no commission or booking fee. Counsellors pay to list their profile; clients pay nothing.

Online therapy

Is online therapy as effective as in-person therapy?+

Research consistently shows that online therapy is as effective as in-person therapy for most conditions, including anxiety, depression, and PTSD. Some people actually find it easier to open up from the comfort of their own home. It's a matter of personal preference — there's no right or wrong choice.

What do I need for an online session?+

A stable internet connection, a device with a camera and microphone (phone, tablet, or laptop), and a private space where you won't be overheard. Your counsellor will usually provide a link to a video platform — Zoom, Teams, and Google Meet are commonly used. It helps to test your setup before your first session.

Are online sessions confidential?+

Yes. The same ethical and legal obligations apply online as in person. Choose a private location for your session, and your counsellor will do the same. Reputable video platforms use encryption. If you're concerned about privacy at home, consider using headphones and letting others in your household know you need uninterrupted time.

Confidentiality & safety

Are my sessions confidential?+

Yes. Confidentiality is a cornerstone of counselling. What you share in sessions stays between you and your counsellor. The exception is professional supervision — most counsellors regularly discuss their work with a supervisor (without identifying you by name) to ensure they're practising safely and ethically.

When can a counsellor break confidentiality?+

There are specific circumstances where a counsellor may be required or feel ethically compelled to break confidentiality: if they believe you or someone else is in immediate danger, if a court orders disclosure, or if child protection concerns arise. A good counsellor will explain their confidentiality policy clearly at the start of therapy.

What if I'm in crisis or having thoughts of suicide?+

If you're in immediate danger, call 999 or go to your nearest A&E. If you're struggling but not in immediate danger, you can call Samaritans any time on 116 123 (free, 24/7), or text SHOUT to 85258. Your GP can also arrange urgent support. A counsellor on Therapist Search can provide ongoing therapeutic support, but is not a crisis service.

What if I want to make a complaint about a counsellor?+

All accredited counsellors belong to a professional body with a complaints procedure. If you're unhappy with your counsellor's conduct, you can raise it directly with them first, or contact their professional body (BACP, UKCP, BPS, or NCPS) to make a formal complaint. Each body has a clear process for investigating concerns.

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