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About therapy

Do I Need CBT or Counselling?

The simple answer: you do not need to know before booking. The most important thing is finding the right therapist for you.

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A woman having a supportive online therapy session from home

Do I Need CBT or Counselling?

One of the most common questions people ask us is whether they need CBT, counselling, psychotherapy or another type of therapy.

The simple answer is that you do not need to know before booking.

Most people come to therapy because they are struggling with anxiety, stress, low mood, relationship difficulties, grief, trauma, low self-esteem or simply a feeling that things are not quite right. They are looking for support, not trying to choose between different therapy models.

The most important thing is finding the right therapist, not choosing the right therapy approach.

Therapy Approaches Often Overlap

Although CBT, counselling, psychotherapy and integrative therapy are often described separately, there is frequently a great deal of overlap in practice.

Most therapists use a range of skills and techniques rather than following a rigid formula.

One session may focus on understanding emotions and experiences. Another may focus on developing practical coping strategies or changing unhelpful patterns of thinking and behaviour.

Good therapy is not about fitting you into a particular model. It is about finding the approach that best supports you and your goals.

What Is Counselling?

Counselling provides a safe, supportive space to explore your thoughts, feelings and experiences.

It can help you better understand yourself, your relationships and the challenges you are facing. Many people find counselling helpful when they need time to reflect, process emotions or make sense of difficult life experiences.

What Is CBT?

Cognitive Behavioural Therapy (CBT) is a practical and evidence-based approach that focuses on the relationship between thoughts, feelings and behaviours.

CBT can help people identify unhelpful patterns, develop coping strategies and make practical changes that improve day-to-day wellbeing. It is commonly used to help with anxiety, low mood, stress, panic attacks and OCD.

What Is Psychotherapy?

Psychotherapy is a broader term that covers a range of therapeutic approaches.

Some psychotherapists may explore how past experiences, relationships and life events continue to influence thoughts, feelings and behaviours today. Psychotherapy often focuses on understanding the bigger picture and creating lasting change.

What Is Integrative Therapy?

Many therapists describe themselves as integrative therapists.

Integrative therapy is not a single therapy model. Instead, it involves drawing on a variety of therapeutic approaches and techniques depending on the individual client and the difficulties they are experiencing.

For example, a therapist may use CBT techniques to help manage anxiety, counselling skills to explore emotions and relationships, and psychotherapeutic approaches to better understand longstanding patterns or experiences.

The focus is not on following one specific model. The focus is on adapting therapy to meet the needs of the individual.

Do I Need To Choose Before Booking?

No, not at all.

Your therapist will take time to understand your situation, discuss what you would like help with and use the approaches that are most appropriate for your needs.

Whether your therapist uses CBT, counselling, psychotherapy, or a combination of approaches, the goal remains the same: helping you better understand what is happening and supporting you in making positive changes.

The most important step is simply getting started.

Therapy is personal and outcomes vary. This service does not diagnose, guarantee outcomes or replace urgent mental health care.

Take the next step at your pace.

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Our sister service

Need Support as a Couple?

Relationship struggles need a different kind of support. 
Our sister platform, OnlineCouplesCounselling.com, specialises in couples therapy with qualified UK relationship therapists — book secure online sessions together.

If you are in crisis or need urgent help, this service is not suitable for emergencies. View crisis support.
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