Mind the WaitUrgent help

Practical guide · UK

Can you have private therapy while waiting for NHS help?

People sometimes use private counselling or therapy while waiting for NHS care. The important part is to understand the cost, qualifications, information-sharing and whether anything changes with your NHS referral.

Before you book

  • Ask the NHS service whether using private therapy changes anything about your referral or planned treatment. Do not assume either way.
  • Check the therapist’s professional registration or accreditation and experience with the problem you want help with.
  • Ask the full session cost, cancellation policy, expected frequency and whether there is a minimum commitment.

Keep both sides informed where useful

  • Tell a private therapist about relevant current NHS care, prescribed medicines and other treatment.
  • If you want professionals to share information, ask how consent and confidentiality work rather than assuming records will move automatically.
  • Keep a simple note of treatment names and dates so you can explain what you have already tried.

If cost is the reason you are unsure

  • Check whether your employer, university, college, insurer, local charity or community service offers counselling.
  • Ask private therapists about lower-cost places or reduced-fee sessions if appropriate.
  • Do not feel pressured to pay privately because you are on a waiting list; it is one possible route, not a requirement.
Keep it manageable

You do not have to solve the whole waiting period today. Pick the smallest useful next step: save a number, write down a question, send one message or ask someone you trust to sit with you while you call.

Trusted sources and next steps

NHS: cognitive behavioural therapy ↗NHS: talking therapies ↗

General UK information, not a diagnosis or personal treatment plan. Services and pathways vary by area and UK nation. Information reviewed 31 August 2026.