How much does private counselling cost in the UK?
In the UK, a private counselling session of 50 minutes to an hour commonly costs around £45 to £90, and often more in London and other big cities. Many counsellors offer a free first chat or a reduced first session, and some keep lower-fee places for people on a low income. There are free and low-cost routes too, from NHS talking therapies to workplace schemes and charities.
What you can expect to pay
- A standard session. Commonly around £45 to £90, usually weekly.
- Couples counselling. Often more, commonly around £60 to £120 a session, as sessions can be longer.
- Online or phone sessions. Usually about the same as face to face.
- Reduced fees. Some counsellors offer a sliding scale or concessions for students, people on benefits or people out of work.
Why prices vary
Experience, extra training, location and demand all play a part. A counsellor renting a room in a city centre has higher costs than one working from a quiet practice room or online. Someone with specialist training, for example in trauma or couples work, may charge more. A higher fee does not automatically mean a better fit for you, so it is worth a first chat with two or three people.
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What it adds up to
That depends on how long you go for. A short block of six to twelve weekly sessions at typical fees comes to roughly £270 to £1,080. Open-ended counselling costs more over time, though many people find they come less often as things improve. Ask your counsellor to review progress with you every so often, so you are never left guessing.
Free and low-cost options
- NHS talking therapies. Free, and in England you can usually refer yourself for anxiety and depression without seeing a GP, although waits vary.
- Your employer. Many workplaces have an employee assistance programme with a few free, confidential sessions.
- Universities and colleges. Most run a free counselling service for students.
- Charities. Some offer free or low-cost counselling for particular needs, such as bereavement.
- Low-cost places. Some services offer cheaper sessions with counsellors in the later stages of training, who are supervised.
Questions to ask about fees
- How much is a session, and how long does it last?
- Is the first session free or reduced?
- Do you offer a lower fee if money is tight?
- How much notice do you need to cancel, and do you charge for missed sessions?
- How and when do I pay?
More questions
Will health insurance pay for counselling?
Some private health policies cover a set number of sessions, often with a counsellor from their approved list. Check your policy before you book.
Why do counsellors charge for missed sessions?
The hour is kept for you and cannot usually be offered to anyone else at short notice. Most explain their policy in the first session.
Is cheaper counselling worse?
Not necessarily. Many experienced counsellors keep some lower-fee places, and supervised trainees can be very good. Feeling safe with the person matters most.
Do I have to commit to a set number of sessions?
Usually not. Most counsellors let you book week by week, and some suggest a review after six sessions or so.