How do I choose a therapist?

It can feel confusing and daunting to try to select a therapist from a directory, or to decide whether to work with a therapist you have been referred to. Here are some points to consider:

Currently, therapists in the UK are not regulated by the government (I expect this will change). The titles ‘counsellor’ and ‘psychotherapist’ are not legally protected, meaning anyone can use them. To ensure a therapist is appropriately qualified and works to an ethical framework, they should be registered with a governing body whose register is accredited by the Professional Standards Authority, such as BACP, UKCP, and NCPS. Registration with a governing body also provides a formal channel through which the client can make a complaint and receive impartial support with this.

Once you know a therapist is qualified and registered, it can be helpful to find out about their therapeutic approach, and see if it resonates with you. For instance, you may prefer to work with a therapist who uses mindfulness techniques, or someone who works with dreams, or someone interested in existential philosophy. You may prefer a therapist from the same background as you, or someone who shares particular values. You may want someone who specialises in neurodiversity, or has experience with a particular demographic. Don’t be afraid to shop around and ask questions.

If you feel a therapist may be a good fit for you, the real test is how you feel when you talk to them and meet them. Do you find them approachable? Do you feel heard, understood, respected? Do their comments feel kind and supportive? Do they make sense? Do you have a sense that the improvement you seek is possible with this person’s help? Most therapists offer an initial ‘assessment’ period where both parties can decide if they want to proceed; you should not be pressured to commit.