Income of a Therapist in the UK: What You Really Need to Know

If you’re thinking about a career in therapy, the first thing on your mind might be money. The truth is, the income of a therapist in the UK varies a lot. Some earn a steady wage through the NHS, others boost their income in private practice, and a growing number mix both. On average, a therapist in the UK makes around £30,000 to £40,000 a year in employed roles. Private practice can lift that to £60,000 or more, depending on fees, clients, and hours worked. But income isn’t just about raw salary — it depends on your location, qualifications, specialism, and the way you run your practice.

In this blog, we’ll break down how much therapists make, what influences those numbers, and how you can maximise your earnings while building a sustainable career.

What Does a Therapist Do and Why It Matters for Pay

Therapists support people through mental health challenges, relationship issues, trauma, or life transitions. The type of therapy you provide — counselling, CBT, psychotherapy, or clinical psychology — influences your income. NHS counsellors or psychological wellbeing practitioners (PWPs) often start on Band 5, with salaries from around £28,000. A clinical psychologist, who must train at doctorate level, enters at Band 7, earning closer to £43,000.

Private practice therapists set their own fees. This independence means you can charge more per session, but you also cover your own costs like rent, insurance, and CPD. That difference is why two therapists with the same training may end up with very different incomes.

Average Income of a Therapist and Hourly Rates

So what’s the average income of a therapist in the UK right now?

• Counsellors and PWPs: £28,000–£35,000 in the NHS, £40–£60 per private session.
• CBT Therapists: £34,000–£47,000 in NHS Band 6 roles, £60–£100 privately.
• Clinical Psychologists: £43,000–£62,000 NHS, £100–£150 private session.
• Psychotherapists: £30,000–£40,000 NHS, £50–£90 private session.

On the ground, private therapy sessions in London can cost £80–£120 an hour. In smaller towns, £40–£60 is more common. Multiply that by 15–20 clients a week and private therapists can see annual incomes of £50,000 to £80,000 — but remember, not all hours are billable, and cancellations eat into that.

NHS vs Private Practice

One of the biggest choices for therapists is whether to work in the NHS, go private, or balance both.

NHS:

• Secure salary, pension, sick pay, and supervision included.
• Clear pay bands with progression.
• Limited control over caseload or therapy approach.

Private:

• Higher earning potential and freedom to set fees.
• Must pay for your own insurance, supervision, and training.
• Need to market yourself and manage admin.

Many therapists start in the NHS, then shift into part-time private practice once they build confidence and experience.

Factors That Influence Therapist Income

The income of a therapist depends on more than the job title. Here’s what makes the difference:

1. Location

Therapists in London and the South East often charge more. Rent is higher, demand is greater, and clients expect to pay premium rates. In rural areas, fees are lower and demand may be patchier.

2. Experience

Early-career therapists charge less. After five years, with a full caseload and solid reputation, your fees and demand naturally rise.

3. Specialisation

Therapists trained in trauma, EMDR, couples counselling, or child psychology often command higher fees. Niche expertise makes you stand out and lets you charge more.

4. Type of Clients

Private-pay clients give you flexibility. Insurance-funded work can bring a steady stream of clients, but fees are capped by insurers. Corporate wellness work often pays better but requires networking.

5. Business Skills

A therapist with strong marketing and admin systems can fill their diary faster and keep clients engaged. Income grows when cancellations are low and bookings are easy.

Overheads: The Hidden Side of Income

In private practice, your gross income is not your take-home pay. Here’s where money goes:

• Room rental: £15–£30 per session in many towns, £50+ in London.
• Professional insurance: £50–£150 a year.
• Supervision: £50–£70 a session, monthly or fortnightly.
• CPD courses: £200–£500 per year minimum.
• Membership fees: BACP, UKCP, HCPC all charge annual fees.
• Software/website: £20–£50 a month for booking systems, directories, or hosting.

Factor all this in and your £80 hourly fee might leave you with £50 net after costs. That’s why good admin, clear cancellation policies, and realistic fee setting are crucial.

Setting Fees in Private Practice

So how do therapists set their rates? Most look at:

1. Local competition – what are other counsellors charging nearby?
2. Experience and specialisation – can you justify a higher fee?
3. Client group – are you working with students, low-income groups, or corporate clients?
4. Positioning – are you aiming for accessibility or premium pricing?

Some therapists offer a sliding scale to balance affordability with fair income. Others hold a couple of low-cost slots and keep the rest at standard rates.

Specialisations That Boost Income

Certain niches are in demand and allow for higher earnings:

• Trauma and EMDR therapy – clients actively search for this expertise.
• Couples counselling – often charged at £80–£120 per session.
• Child and adolescent therapy – parents are willing to pay for specialised help.
• Corporate wellness – running workshops or contracts can raise annual income significantly.

Focusing on a niche also helps with marketing. Clients know exactly why they should choose you.

Online Therapy and Digital Opportunities

The rise of online therapy means UK therapists can now reach clients anywhere. This opens income streams without the cost of room rental. Platforms like BetterHelp or UK directories provide exposure, but private websites and SEO often bring the best-paying clients.

Therapists are also diversifying income with:

• Workshops
• Online courses
• Group therapy
• Books, blogs, or podcasts

Each adds to financial stability and reduces reliance on one-to-one hours.

NHS Bands: What They Mean for Therapists

For clarity, here’s how NHS Bands translate for mental health professionals:

• Band 5: Entry-level counsellor or PWP, £28,000–£34,000.
• Band 6: CBT therapist, senior counsellor, £34,000–£42,000.
• Band 7: Clinical psychologist entry, £43,000–£50,000.
• Band 8a–8c: Consultant psychologist, £51,000–£75,000.

These bands are reviewed annually. They provide secure salaries and progression, but private work often overtakes them in pure income potential.

Career Progression and Long-Term Earning Potential

The income of a therapist doesn’t stay static. Here’s how it can grow:

• Start in NHS Band 5–6 roles.
• Build private practice evenings/weekends.
• Move to part-time NHS, part-time private.
• Develop a full caseload privately.
• Add supervision, teaching, or corporate contracts.

Over time, an experienced therapist with multiple income streams can comfortably make £60,000–£90,000 a year.

Work-Life Balance and Financial Stability

Money matters, but so does sustainability. Many therapists burn out chasing high caseloads. A healthy target is 15–20 clients a week in private practice, leaving room for supervision, admin, and self-care. Beyond that, income rises but wellbeing often falls.

Smart therapists diversify income to reduce reliance on client sessions. This mix keeps earnings steady while protecting mental health.

Recent Update on Therapist Income in the UK (2025–26)

In May 2025, the NHS confirmed a 3.6% Agenda for Change pay rise for all staff. This means that therapists working within the NHS will now see slightly higher baseline salaries across the main pay bands.

• Band 5 roles, such as counsellors and Psychological Wellbeing Practitioners, now range from £31,049 to £37,796 per year.
• Band 6 roles, which include CBT therapists, are between £38,682 and £46,580.
• Band 7 roles, such as clinical psychologists, now fall between £47,810 and £54,710.

This modest rise reflects the government’s efforts to adjust for inflation and workforce pressures. While these increases improve overall stability, the difference between NHS salaries and private practice income remains clear. Private therapists can often charge £60 to £120 per session, and in some cases much more, making independent practice still the higher-earning route for many professionals.

For therapists weighing up their options, this update is important. It shows that NHS work has become slightly more competitive financially, but private practice continues to provide greater long-term earning potential if managed effectively.

FAQs About Therapist Income in the UK

Do therapists get paid during holidays?

NHS-employed therapists do, but private practitioners only earn when they see clients. Many set aside a “holiday fund” from fees.

Can you make six figures as a therapist in the UK?

Yes, but usually only with a mix of private clients, supervision, training, or corporate work. It’s rare from therapy sessions alone.

Is online therapy cheaper?

Often yes, but many therapists keep fees the same online to reflect their expertise.

Do you need to be registered to practise privately?

Legally, “therapist” isn’t protected, but clients expect membership of BACP, UKCP, HCPC, or BABCP. Without it, building trust is harder.

Takeaway

The income of a therapist in the UK varies widely, from £28,000 in NHS entry roles to £80,000+ in private practice with a strong client base. Location, specialism, and business skills all shape how much you can make. With the right balance of NHS experience, private practice, and diversified income streams, therapy can be both financially secure and personally fulfilling.

Want to grow your skills, boost your confidence, and open doors to higher-paying roles? Enrol in our Level 5 Mental Health Care – MCA and DOLS Diploma at Course Cave today. Build the expertise employers trust and clients respect.