How Much Does a Therapist Make in a year in UK?

If you’ve been wondering, “How much does a therapist make in a year in the UK?”, the truth is that pay ranges from modest starter salaries to higher earnings for specialists. NHS therapists earn between £31,049 and £54,710, depending on band, experience, and London weighting. 

On the other hand, private practice fees typically run from £40 to £150+ per session, often higher in London or for specialist therapy. Overall, your earnings also depend on how many clients you see, your qualifications, and whether you combine NHS work with private sessions.

Who Counts as a “Therapist” in the UK?

When we say “therapist” here, we mean people who help with mental health, not physiotherapists, occupational therapists, or other health jobs. This includes counsellors, psychotherapists, CBT or high-intensity therapists in NHS Talking Therapies, and PWPs (Psychological Wellbeing Practitioners).

However, clinical and counselling psychologists are a bit different. They follow separate registration paths and training, so their roles and pay don’t match exactly.

Basically, if you want to know about mental health therapy in the UK, we’re talking about the people who support emotional wellbeing and help with things like anxiety, depression, trauma, and stress.

NHS Therapist Salaries (2025/26): Pay Bands at a Glance

NHS Therapist Salaries (2025/26): Pay Bands at a GlanceHere’s a quick look at what therapists earn in the NHS. Salaries depend on your band, experience, and whether you get London weighting.

Pay Bands & Typical Roles

• Band 4 (trainee PWP): Training pay. Good for beginners, mostly shadowing and learning basic skills.
• Band 5 (newly qualified counsellor/PWP): £31,049–£37,796. First proper job, seeing clients with supervision and small caseloads.
• Band 6 (early CBT or high-intensity therapist): £38,682–£46,580. Run own sessions, handle more complex cases, and start leading small projects.
• Band 7 (qualified psychotherapist/high-intensity therapist): £47,810–£54,710. Supervise juniors, manage bigger caseloads, and help plan services.
• Bands 8a–8b (senior/lead roles): Higher pay for team leaders or senior jobs, managing teams and services.

London Weighting (HCAS) 2025:

If you work in London, you get extra pay called the High Cost Area Supplement (HCAS) because living costs are higher. Here’s the 2025/26 breakdown:

• Inner London: 20% of your basic salary, capped at £8,466 a year.
• Outer London: 15% of your basic salary, capped at £5,941 a year.
• Fringe areas: 5% of your basic salary, capped at £2,198 a year.

Which jobs sit in each band?

• Band 4: Trainee PWP – learning the ropes.
• Band 5: Newly qualified PWP/counsellor – first proper job.
• Band 6: Early CBT/high-intensity therapist – own sessions, more complex cases.
• Band 7: High-intensity therapist/psychotherapist – fully trained, may supervise juniors.
• Bands 8a–8b: Specialist roles/team leads – senior jobs, managing teams.

Pro tip: Check NHS job boards for live vacancies and current pay.

Private Practice Income: What UK Therapists Charge in 2025

If you work privately, your earnings depend on experience, training, and the type of therapy you offer. Most therapists charge £40–£150+ per session. For example, in London, average sessions are £70–£138, though some go up to £288. In other cities, like Manchester, Leeds, and Cardiff, rates are usually lower and depend on local demand.

What affects your fees:

• Your qualifications and professional accreditation
• Specialisms, like couples therapy or EMDR
• How much experience you have
• Whether you see clients in a clinic or online
• Local demand and waitlists

Realistic “Take-Home” Maths: Employed vs Self-Employed

Let’s break down what therapists actually take home each year.

NHS Band 6 outside London:
You’d earn around £38k–£46k before tax. Add HCAS if it applies. Tax depends on where you live.

London Band 7 with HCAS:
Your pay is roughly £48k–£55k. London weighting adds up to £8,466, but it’s capped.

Private practice example:

• See 12–18 clients a week and charge £70–£90 each. Work about 46–48 weeks a year.
• Take out your costs like room rent, supervision, insurance, training, and advertising.
• BACP recommends 1.5 hours of supervision each month. Usually, one hour covers 8 clients.
• After costs and tax, what’s left is your real take-home pay.

How Much Does a Therapist Make in a Year? (Salary by Role)

Here’s a simple look at what different therapy jobs pay in the UK:

• Counsellor (employed): About £25k–£47k. Starter jobs pay less, experienced jobs pay more.
• CBT / High-Intensity Therapist: Trainees usually start at Band 6. Once qualified, pay moves to Band 7.
• Psychotherapist (NHS): Starts around Band 7. Can move up to Bands 8a–8b with more responsibility.
• PWP (Psychological Wellbeing Practitioner): Band 4 for training, then Band 5 when qualified.
• Clinical / Counselling Psychologist: Starts at Band 7. Senior roles pay more as you progress.

Tip: Always check NHS job boards for live salaries. It gives a real sense of what you could earn.

What Affects a Therapist’s Earnings (Beyond Band)

Skills and Qualifications

Firstly, your training and certifications matter. Having BACP, UKCP, or HCPC accreditation can help you earn more. Also, special skills like EMDR, trauma work, or couples therapy let you charge higher rates. Even extra short courses can make a difference when clients or clinics decide what to pay.

Type of Work

Next, the mix of work you do affects your income. Combining NHS hours with private clients, workplace support, or group sessions can really boost earnings. Moreover, the more variety you take on, the steadier your income, especially if one area slows down.

Business Choices

Finally, how you run your practice matters. For instance, things like cancellation policies, advertising, referrals, contracts, and online vs in-person sessions can change your take-home pay. Simple choices—like clear booking rules or marketing your niche—can make a big difference.

Costs & Tax Basics for Private Therapists

Running your own therapy practice costs money, so it’s good to know what to expect.

• Room hire: Usually £7–£20 per hour outside London, or £19–£70 in fancy London spaces.
• Supervision: Around £55–£95 per hour, more if you’re a senior therapist.
• Other stuff: Insurance, listings on directories, training (CPD), and bookkeeping.

The good news is that some of these costs can be claimed back on tax. Training and work-related expenses often count, but check GOV.UK for the latest rules.

Tip: Keep track of all receipts. It helps you see what you really take home and makes tax time easier.

Career Progression & Pay Uplifts

Therapists can earn more as they gain experience, training, and extra skills. For example, completing High-Intensity CBT training can help you move from Band 5 → 6 → 7. Each time you move up, it usually comes with more responsibility, better pay, and more complex cases to handle.

Then, after reaching Band 7, you can take on leadership or specialist roles. Bands 8a–8b often include supervising other therapists, managing a team, or running a service. Additionally, some therapists specialise in areas like trauma, couples, or child therapy, which can increase pay and opportunities.

Finally, keep learning, take on extra responsibilities, and gain special skills. The more experience and qualifications you get, the higher your pay and career options.

FAQs

1. How much does a therapist make in the UK?
   Most NHS therapists earn around £31k–£55k. Private therapists can charge £40–£150+ per session, depending on experience.
2. Which therapist makes the most money?
   Senior psychotherapists, specialists, or busy private therapists usually earn the most.
3. What is the highest paying job?
   Leading teams or running private practices with lots of clients and special skills usually pays best.
4. Will AI replace psychologists?
   Nope. AI can help with admin, but it can’t replace human empathy or real-life judgement.
5. How do I know if I should be a therapist?
   If you like listening, helping people, and staying calm in emotional situations, it could be a good fit.
6. Am I suitable to be a therapist?
   Being patient, empathetic, and a good communicator matters most. If you have those, you could be suitable.
7. Is private therapy worth it?
   Yes! It can pay more and be flexible, but you’ll also handle costs and run your own practice.

Final Thoughts

So, overall, how much a therapist makes in a year in the UK depends on your role, experience, and where you work. For example, NHS jobs pay around £31k–£55k, while private therapy can bring in more if you have extra skills or many clients. Additionally, London jobs add even more with HCAS, and moving up the bands or gaining extra qualifications can boost your pay.

Ultimately, your earnings grow as you gain more skills, take on different roles, and make smart decisions about private or NHS work. So, with effort and planning, a career as a therapist can be both financially and personally satisfying.

The Cognitive Behavioural Therapy Training Online course from Course Cave is designed to give you practical knowledge and techniques you can use to support others, boost your professional profile, and even start a new career path. Don’t just learn about CBT—learn how to apply it. Enrol today and start your journey towards helping others and growing your career.