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 won't 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
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 counselling on the NHS.
In 2010, the Improving Access to Psychological Therapies (IAPT) programme was introduced to make talking therapies, such as counselling, more widely available on the NHS.
As a result of the IAPT programme, you can now get free counselling from:
- many GP surgeries – and if your GP doesn't offer counselling, they can refer you to another service locally
- most workplaces
- many universities, schools and colleges
- some voluntary and charitable organisations
Find out more about free counselling services on the NHS.
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 between £10 and £70.
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 don't need a referral from your 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:
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 practice.
You can find a qualified therapist through the PSA check a practitioner page or the British Association for Counselling and Psychotherapy (BACP) directory.
Other talking therapies
As well as counselling, there are many other types of psychological therapies (or "talking therapies") that involve a person talking to a therapist about their feelings or problems.
Read more about other talking therapies and how they can help.