
17 Mar 2025 ● Harmonia Careers
Careers in Mental Health: Counselling and Psychotherapy
The demand for qualified counsellors is steadily increasing due to the growing awareness of mental health issues and the importance of emotional wellbeing in society. This trend not only ensures job security but also highlights the vital role that counsellors and therapists play in promoting mental health awareness and reducing stigma associated with seeking help.
Find out what it takes to train, register, and become a qualified counsellor or psychotherapist in our handy career guide.

What is Counselling & Psychotherapy?
Counsellors and psychotherapists are trained professionals who use talk therapy to help clients express their feelings and emotions.
Mastering the core counselling skills is crucial for listening to and supporting someone without judgment or criticism. The goal of talk therapy is to assist individuals to better understand their own feelings and thought processes, enabling them to discover their own solutions to problems.
Counselling often refers to short-term talk therapy, focusing on helping a person find solutions to current issues or challenges they are facing.
Psychotherapy is typically a more in-depth, long-term process that focuses on a person's feelings, past experiences, and desire to achieve personal growth.
Read more: 9 core counselling skills
How to become a counsellor or psychotherapist
Although there's no compulsory training required to become a talk therapist, it is expected that you have undertaken relevant professional training to at least a Level 4 Diploma.
It’s also important to be registered with a relevant professional association, which shows you meet certain educational standards, undertake continued professional development, and abide by a code of ethics. Many of the professional bodies maintain accredited registers.
You may decide to train in this field as a college leaver or graduate, but anyone can transition to a talk therapy career with the right motivation and passion for helping others.
It's common for trained healthcare professionals such as psychologists, social workers, nurses, occupational therapists, and teachers, to transition into a talking therapy role when considering a career change.
1. REGULATION
Although this field is not regulated in the UK, several professional bodies have registers that are accredited by the Professional Standards Authority (PSA). Joining an accredited register demonstrates a commitment to high standards and public protection within the industry.
Mental Health Professions: What are the regulations?
2.TRAINING
Counselling
There are several steps to becoming a counsellor. If you don't have existing professional experience or training that would make you eligible for a Level 4 Diploma, you will need to complete the Level 2 and 3 Diploma programmes.
Once qualified to Level 4, you can register with a professional body and begin working as a newly qualified counsellor.
Psychotherapy
It's recommended that you complete a postgraduate psychotherapy training programme that's approved by a professional body with an accredited PSA register.
Courses can be studied part-time or full-time and take between three to six years to complete.
Where to find a training course
- ACP
- ACC
- BACP
- BAPT
- BPC
- BABCP
- COSCA
- Human Givens College
- IACP
- NCPS
- PTUK
- UCKP
3. REGISTRATION
There are many valuable professional bodies in the counselling and psychotherapy sector. Most practitioners choose to register with one or more association that holds an accredited register, as this demonstrates commitment to high standards and public protection within the industry, to both potential clients and employers.
Find Professional Associations (A - Z)
4. CPD
After your initial training, continued learning and ongoing education is essential to ensure best practice. Engaging in Continued Professional Development (CPD) is often required to maintain professional registration and will keep you informed about the latest practices and techniques.

Where do counsellors and psychotherapists work?
Counsellors and psychotherapists work in a variety of settings, depending on their specialisation, clientele, and the services they provide.
Here are some common workplaces:
- Private Practice: Many counsellors and psychotherapists operate their own private practices, offering one-to-one, couple or group sessions.
- Healthcare Facilities: There are many opportunities to work in hospitals, clinics, or rehabilitation centres, providing support to patients dealing with mental health issues, both within the NHS and privately.
- Schools and Educational Institutions: Counsellors often work in schools, colleges, and universities, helping students with academic and personal challenges.
- Community Organisations: Many professionals work for non-profit organisations or charities that provide mental health services to local or national populations.
- Corporate Settings: Offering support via employee assistance programmes (EAPs) or delivering workshops on mental health and wellness.
- Government Agencies: Working for government bodies, local councils or professional associations to provide mental health services in various public sectors.
- Online Platforms: With the rise of teletherapy, many professionals offer counselling and psychotherapy services through online platforms.
Specialisms and further training
Counselling encompasses a variety of specialisms that cater to different needs and populations. Here are some notable specialisms:
- Art Therapy: Utilizes creative activities such as drawing, painting, and sculpture to help individuals express themselves.
- Play Therapy: Focuses on children using play as a medium for communication and emotional expression.
- Trauma-Informed Care: Addresses the impact of trauma on individuals and incorporates strategies to promote healing.
- Couples Counselling: Aims to improve relationship dynamics and resolve conflicts between partners.
- Family Therapy: Works with families to improve communication and resolve issues within the family unit.
- Career Counselling: Helps individuals explore career options and make informed decisions about their professional paths.
- Substance Abuse Counselling: Supports individuals struggling with addiction and helps them develop coping strategies.
- Grief Counselling: Provides support to individuals dealing with loss and bereavement.
- School Counselling: Focuses on the emotional and social development of students within educational settings.
- Online Counselling: Offers therapy through digital platforms, making it accessible to a broader audience.
Each of these specialisms addresses unique challenges and utilises specific techniques to support individuals in their personal growth and healing journey.
Search latest jobs
Final Thoughts
Choosing a career in counselling or psychotherapy can be an incredibly rewarding path for a variety of compelling reasons.
One of the most significant motivations is the opportunity to make a profound difference in the lives of individuals who are facing challenges, whether they be emotional, psychological, or social.
A career in counselling offers the chance to work in diverse settings, including schools, hospitals, private practices, and community organisations. This variety allows professionals to engage with a wide range of people, from children and adolescents to adults and families, each with unique needs and experiences. Such diversity not only keeps the work interesting but also enhances the counsellor's ability to develop a comprehensive understanding of human behaviour and societal issues.
Moreover, the nature of the profession is rooted in continuous learning and personal development. Counsellors and therapists are required to stay updated on the latest research, therapeutic techniques, and ethical practices, which fosters an environment of ongoing education. This commitment to professional growth can lead to a fulfilling career trajectory, with opportunities for specialisation based on your passion and skills.
A career in counselling and psychotherapy is a fulfilling choice for those who are passionate about helping others, eager to learn and grow, and interested in making a lasting impact on individuals and communities. The combination of personal satisfaction, professional development, and societal contribution makes this a highly desirable career path for many.