Counselling

Counselling is a talking therapy that involves a trained therapist listening to you and helping you find ways to deal with emotional issues.

Sometimes the term "counselling" is used to refer to talking therapies in general, but counselling is also a type of therapy in its own right.

What can counselling help with?

Counselling can help you cope with:

• a mental health condition, such as depression, anxiety or an eating disorder
• an upsetting physical health condition, such as infertility
• a difficult life event, such as a bereavement, a relationship breakdown or work-related stress
• difficult emotions – for example, low self-esteem or anger
• other issues, such as sexual identity

What to expect from counselling

At your appointment, you'll be encouraged to talk about your feelings and emotions with a trained therapist, who'll listen and support you without judging or criticising.

The therapist can help you gain a better understanding of your feelings and thought processes, and find your own solutions to problems. But they will not usually give advice or tell you what to do.

Counselling can take place:

• face to face
• in a group
• over the phone
• by email
• online through live chat services (learn more about online tools for mental health)

You may be offered a single session of counselling, a short course of sessions over a few weeks or months, or a longer course that lasts for several months or years.

It can take a number of sessions before you start to see progress, but you should gradually start to feel better with the help and support of your therapist.

Can you get free counselling on the NHS?

You can get free talking therapies, including counselling for depression, on the NHS.

You do not need a referral from a GP.

You can refer yourself directly to a talking therapies service.

Or you can get a referral from a GP if you prefer.

Find out more about free talking therapies on the NHS

If you’re under 18, or want to get help for someone under 18, find out how to get mental health support for children and young people.

Private counselling

If you decide to pay to see a private therapist, make sure they're qualified and you feel comfortable with them.

The cost of private counselling can vary depending on where you live, with a session costing anywhere from £35.

Many private therapists offer an initial free session and lower rates for students, job seekers and those on low wages.

You should ask about charges and agree a price before starting a course of counselling.

Charities and voluntary organisations

Some charities and voluntary organisations also offer counselling. These organisations usually specialise in a particular area, such as couples counselling, bereavement or family guidance.

You do not need a referral from a GP for an appointment for these services, but you may have to pay a fee to cover the cost of your sessions.

Charities that may offer counselling include:

• Cruse – for bereavement advice and support
• Rape Crisis England & Wales – for anyone 16 years old and over including family and friends, who has been affected by rape, sexual abuse or any other form of sexual violence
• Relate – for relationship advice and counselling
• Samaritans – for people to talk about whatever's troubling them at any time
• Victim Support – for victims and witnesses of crime
• Childline – for children and young people under 19 years old

You may also be able to access support groups through your local community, church or social services.

Finding a qualified therapist

As counselling involves talking about sensitive issues and revealing personal thoughts and feelings, your counsellor should be experienced and professionally qualified.

Reputable therapists will be registered with a professional organisation that's been accredited by the Professional Standards Authority (PSA). This means they have met the PSA's required professional standards to practise.

You can find a qualified therapist in 3 simple steps on the PSA website

Other talking therapies

As well as counselling, there are many other types of psychological therapies (or talking therapies) that involve talking to a therapist about your feelings or problems.

Read more about other talking therapies and how they can help