Together: Support systems

Wondering where to start? Mental health support systems in the UK are comprehensive yet complex. Our handy guide explains the different support options available, including the distinctions between therapy, counselling, and public NHS vs private services. Deciding between these options depends on the urgency of your needs, your financial situation, and the type of support you're seeking.

Therapy is a broad term that typically refers to a structured process involving psychological techniques to treat mental health conditions or emotional difficulties. It often involves a trained professional, such as a clinical psychologist or psychotherapist, who uses specific approaches like Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), or psychodynamic therapy. Therapy can be short-term or long-term and is usually more in-depth, often focusing on behavioural change, emotional regulation, or uncovering underlying psychological issues.

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Counselling tends to be a shorter-term and more general form of emotional support. Counsellors typically help people cope with life's challenges such as stress, grief, relationship problems, or work-related issues. While there is overlap between therapy and counselling, counselling is often less clinical in tone and may not delve as deeply into psychological diagnosis or long-term patterns of behaviour. However, both therapists and counsellors can be professionally trained, and the titles are sometimes used interchangeably, though their training and focus may differ.

Crisis...

Public or Private?

NHS mental health services are publicly funded and free at the point of use. You can access these through your GP, who may refer you to services like IAPT (Improving Access to Psychological Therapies) in England, or equivalent services in Scotland, Wales, and Northern Ireland. These services typically offer assessments and short-term therapies such as CBT or guided self-help. However, waiting times can be long, and the range of therapies available may be limited depending on your location and the resources of the local NHS trust. NHS services generally prioritise individuals with moderate to severe mental health conditions.

On the other hand, private mental health services are paid for directly by the individual or through private health insurance. Private therapy and counselling usually offer quicker access, more flexibility in terms of types of therapy and practitioner choice, and often longer or more intensive sessions. Some private practitioners may also offer online sessions, which adds further convenience. However, the cost can be a barrier for many people, with sessions typically ranging from £40 to over £100 per hour, depending on the therapist's qualifications and location.