How to choose a therapist in London

Registration, approach and fit: what to look for when choosing a counsellor or CBT therapist in London, and useful questions to ask on an intro call.

A friendly therapist smiling on a video call

In short

  • When choosing a therapist in the UK, check they belong to a professional body such as the BACP or UKCP, because 'counsellor' and 'therapist' are not protected titles.
  • Registered and accredited therapists work to an ethical framework, have regular supervision, and offer a clear complaints route if something goes wrong.
  • Different therapy approaches suit different difficulties, and many therapists combine approaches depending on what you need.
  • The relationship with your therapist is one of the strongest predictors of whether therapy helps, so notice whether you feel comfortable enough to be honest with them.

Looking for a therapist can feel overwhelming, especially when you are already struggling. A few simple checks make it much easier.

Check registration

In the UK, “counsellor” and “therapist” are not protected titles. Look for membership of a professional body such as the BACP or UKCP, and check the therapist on the public register. Registered and accredited members work to an ethical framework, have regular supervision, and there is a clear complaints route if something goes wrong.

Think about approach

Different approaches suit different difficulties. CBT and exposure and response prevention (ERP) have a strong evidence base for anxiety and OCD. Person‑centred therapy offers a warm, open space to explore. Many therapists, including me, combine approaches depending on what you need.

Consider practicalities

Location, cost and availability matter. In a city the size of London, think about which areas are easy for you to get to, whether you’d prefer in‑person or online sessions, and what times you can reliably make each week.

“The relationship with your therapist is one of the strongest predictors of whether therapy helps.”

Questions to ask on an intro call

  • How do you usually work with what I’m describing?
  • How long does therapy tend to last?
  • What happens if I want to stop or take a break?
  • How do confidentiality and its limits work?

Most of all, notice how it feels to talk to them. Feeling comfortable enough to be honest matters a great deal.

Common questions

Can anyone call themselves a therapist in the UK?

Yes. 'Counsellor' and 'therapist' are not protected titles in the UK, so it is worth checking the therapist on the public register of a professional body such as the BACP or UKCP.

Which type of therapy is best for anxiety or OCD?

CBT and exposure and response prevention (ERP) have a strong evidence base for anxiety and OCD. Person-centred therapy offers a warm, open space to explore, and some therapists combine these approaches.

Should I choose in-person or online therapy in London?

It depends on what works for you. In a city the size of London, think about which areas are easy for you to get to, whether you'd prefer in-person or online sessions, and what times you can reliably make each week.

Ben White
About the author

Ben White, MBACP (Accred)

Ben is a BACP accredited integrative counsellor with a Masters in Addiction Psychology and Counselling. He works with adults with anxiety, OCD, addiction and low self‑esteem in Hackney, Peckham, East Dulwich and online.

This article is general information, not a substitute for therapy or medical advice. If you are in crisis, call 999 or the Samaritans on 116 123.

Book a free intro call20 minutes · phone or video · no obligation
  • ✓ Replies within 2 working days
  • ✓ Confidential
  • ✓ No obligation
  • ✓ BACP accredited
Prefer to send a message? →