Creative Leaps Psychological therapy in the UK — a reference

Therapy in the UK

How therapy is regulated in the UK, which registers exist and who oversees them, how to check a practitioner, how to reach NHS talking therapies in each of the four nations, and what a first appointment involves.

This is the practical part of the site, and the part worth reading first.

In the UK, “psychotherapist”, “counsellor” and “therapist” are not protected titles. Anyone may use them, whatever their training. The professions that are protected by law — practitioner psychologist, art therapist, dramatherapist, music therapist and the rest — are a separate and much smaller set. That single fact reshapes every practical question a member of the public has, because it means the useful question is never what somebody calls themselves. It is which register they are on, who oversees that register, what it checked before listing them, and what happens if something goes wrong.

The pages below work through that, and through the ordinary business of getting seen: how NHS self-referral works in England, what the arrangements are in Scotland, Wales and Northern Ireland, what therapy costs and who pays, and what actually happens in a first appointment.

The organisations named on these pages

Every body linked from this site is a professional register, a regulator, a public health service or a published piece of research. No individual practitioner is named or recommended anywhere on this site, and no listing here is an endorsement of any particular person. Where a body runs a directory, the link goes to the directory’s front door so you can search it yourself.

How therapy is regulated in the UK

"Psychotherapist" and "counsellor" are not protected titles in the UK. Which titles are protected, why the statutory route was abandoned in 2011, and …

How to check a practitioner

A short, practical procedure for verifying a UK therapist: which register to search, what an entry proves, the traps that make a check look reassuring …

NHS talking therapies in England

How the NHS talking therapies service for anxiety and depression works in England: who it is for, how self-referral works, the waiting-time standards …

Therapy across the four nations

England's self-referral route is not the UK-wide arrangement. How access to NHS talking therapies differs in Scotland, Wales and Northern Ireland, and …

Who pays for therapy in the UK

NHS treatment is free at the point of use. The other routes — employer schemes, universities and colleges, charities and private practice — differ in …

What a first appointment involves

The first meeting is usually an assessment rather than therapy: history, goals, risk questions, and the limits of confidentiality. What should be …

Getting help now

Where to go in the UK if you need mental health help urgently: NHS 111 option 2 in England, Breathing Space in Scotland, and the national routes in …