How to Find a Counsellor in the UK: NHS and Private Routes
How to find a counsellor in the UK: NHS Talking Therapies and self-referral, private counselling costs, low-cost options and checking registration.
Online Counselling vs Face-to-Face: Which Is Right for You?
Online and face-to-face counselling compared: effectiveness, privacy, convenience and cost, plus how to get the most from video, phone or text sessions.
Key takeaways
- Research suggests online counselling can work well for many common difficulties.
- Online is convenient and flexible; face-to-face can feel more personal and private for some.
- Choose the format you’re most likely to stick with.
On this page
Counselling no longer has to happen in a therapist’s room. Video, phone and even text-based sessions are now common. Both formats work; the right choice depends on your needs, your space and what helps you open up.
How they compare
| Online | Face-to-face | |
|---|---|---|
| Convenience | High: no travel | Requires travel |
| Choice of counsellor | Wider: not limited by location | Local options only |
| Privacy | Needs a private space at home | Private room provided |
| Connection | Works well for many; some find it harder | Body language and presence can feel richer |
| Cost | Sometimes lower | Varies |
| Best for | Busy schedules, rural areas, mobility issues | Complex needs, people who want separation from home |
Does online counselling work?
Research suggests online therapy can be effective for common difficulties such as anxiety and depression. The relationship with your counsellor matters more than the format, so focus on finding someone you trust.
Formats
- Video: closest to face-to-face, and you can still see expressions.
- Phone: some people find it easier to talk without being seen, and it works on a weak connection.
- Text or messaging: flexible and useful if speaking feels too hard, but slower and less immediate.
Making online sessions work
- Find a private, quiet space where you won’t be overheard. Some people use a parked car or book a room.
- Use headphones and a stable connection, and close other apps and notifications.
- Build in a few minutes before and after to settle in and wind down, rather than going straight back to work or family life.
- Agree a backup plan with your counsellor if the connection drops, such as switching to phone.
Questions to ask an online counsellor
- Which professional body are you registered with, and are you insured to work online?
- Which platform do you use, and how is it secured?
- Where are you based? A UK-based counsellor will know local services and how to get urgent help where you live.
- What should I do if I’m struggling between sessions?
- Do you keep notes, and how are they stored?
Staying safe online
Check registration with an accredited body such as BACP, UKCP or NCPS, just as you would for face-to-face counselling. If you use an app or platform that matches you with a counsellor, find out who you’ll actually be talking to and check their registration. An AI chatbot can be a place to jot down thoughts, but it isn’t a trained counsellor and can’t help in a crisis.
When face-to-face may be better
If home isn’t private or safe, if you’re in crisis, or if you find it hard to connect through a screen, face-to-face may suit you better. If you’re living with someone who hurts or controls you, a counsellor can help you plan how to get support safely.
Mixing both
Many counsellors offer both formats. Some people start in person to build trust, then switch to video when life gets busy, or use phone sessions while travelling.
For costs, see how much counselling costs in the UK; to start your search, read how to find a counsellor.
Frequently asked questions
Is online counselling confidential?
Reputable counsellors use secure platforms and follow the same confidentiality rules. Ask how they protect your data.
Is online counselling cheaper?
Sometimes, but not always. Compare fees and what’s included.
Can I switch between online and in person?
Many counsellors offer both. Ask whether you can mix formats.
Sources
Every article is edited by a human and checked against our editorial policy. Spotted a mistake? Tell us.
Keep reading
What Happens in Your First Counselling Session
Nervous about your first counselling session? What usually happens, the questions you may be asked, confidentiality and how to make it work for you.
How Much Does Counselling Cost in the UK?
What counselling costs in the UK: typical private fees, free NHS talking therapies, low-cost and sliding-scale options, workplace schemes and questions to ask.