Psychotherapy - Availability 

Availability of psychotherapy on the NHS 

Psychotherapy is available in some areas of the NHS by referral from your GP. However, there are often long waiting lists to see psychotherapists, so you may also wish to consider seeing a private therapist.

In 2010 the government announced plans to make psychological therapies more widely available on the NHS. This is because they have been recognised internationally as effective treatments for common mental health conditions.

Mental health workers and psychotherapists already work in some GP surgeries. If there is not one available in your surgery, your GP may be able to refer you to a:

  • community mental health team (CMHT), which will decide what treatment is needed and refer you on to someone in their team or a specialist psychotherapy service
  • specialist psychotherapy service, which will carry out an assessment to find out what treatment is needed and refer you to one of its team of psychotherapists
  • consultant psychiatrist in psychotherapy, who will be trained and experienced in a wide variety of methods and can help work out which treatment is needed

If you are already seeing a psychiatrist or a local mental health team, they may be able to help you get psychological therapy as part of your treatment.

Alternatively, you may be able to refer yourself through your local NHS trust if they offer psychotherapy services as part of their local mental health services.

You can use the services directory to find your local NHS trust.

Private psychotherapy

You can also arrange to see a private psychotherapist or psychoanalyst. However, psychotherapy is currently an unregulated profession, so if you choose to see a private therapist, make sure that they are fully qualified and have received their training through a recognised professional organisation such as the:

Your GP may also be able to recommend a qualified psychotherapist who can offer a treatment with evidence that shows it can treat the disorder from which you are suffering. It is important to be aware that different therapies may be recommended for different disorders.

Self-help

If you have a problem, such as mild anxiety or depression, which you feel you may be able to improve without professional treatment, there are many self-help books available. These are mainly based on cognitive behavioural therapy (CBT). For information on the range of books and websites available for self-help you may wish to consider the websites of charities involved in your condition.

There are also two software programs that are recommended by the Department of Health that you can access on the internet and may be useful if you are considering self-help. They are:

• Beating the Blues - for mild and moderate depression
• FearFighter - for panic disorder and phobia

Last reviewed: 18/08/2011

Next review due: 18/08/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

cuttysark said on 26 April 2011

I totally agree with what "yodeller" said on 8/2/11. There is no such thing as choice with the NHS as far as mental health services are concerned, i.e. availability of psychological services is at the discretion of the patient's GP, so if you have an unsympathetic GP then that's the end of that. So, as usual, if you have the money you have the choice (as when celebrities and the rich book themselves into private clinics). The article is at least honest enough to admit the waiting lists may be long, but could have gone into more detail eg on which hospitals have psychiatry depts and where the specialised psychotherapy centres are/who can access these.

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yodeller said on 08 February 2011

Pretty useless.
On NHS CHOICES surely you are meant to say WHERE one can gain the treatment?
How many people with severe mental health problems can afford private treatment???
I want to know where I can gain this treatment on NHS. Through years of experience I do not trust GPs to be helpful and just to prescribe pills - which often they should not be doing as they should only be prescribed by a consultant. I want proper therapy, not pills to dull my mind and keep me quiet.

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