How To Find Affordable Online Therapy: UK Counselling & Mental Health Support

Medically reviewed by Julie Dodson, MA, LCSW
Updated April 18th, 2025 by BetterHelp Editorial Team

The prevalence of virtual counselling has been rising sharply in the UK in recent years. This form of counselling enables individuals to connect with a credentialed mental health professional no matter where they live in the UK. However, many people might wonder how to find a reputable virtual therapist. Below, we’ll look at online counselling, its benefits, and ways to find a reputable therapist.

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Virtual online counseling trends

More and more people in the UK have been turning to online therapy options for mental health support. This trend started before COVID-19 began to spread, but it surged significantly during the pandemic. One study found a 124% rise in searches for virtual therapy in 2020. This trend may continue as more and more studies support the effectiveness of online therapy.

What are common therapeutic approaches?

Virtual therapists use a variety of approaches, depending on the needs of each client. Below are just a few therapy modalities:

Cognitive behavioral therapies (CBT)

Cognitive behavioral therapy tends to be one of the most widely used modalities. Cognitive behavioral therapy usually focuses on helping the client identify and replace inaccurate thoughts about themselves, as well as exploring the link between thoughts, emotions, and behaviors.

Online therapists frequently use cognitive behavioral therapy for anxiety disorders, depression, eating disorders, and substance use disorders. When people begin to replace their inaccurate thoughts and beliefs with more constructive ones, they may experience a shift in their emotions, as well as positive behavioral changes

If you are struggling with substance use, contact the SAMHSA National Helpline at 1-800-662-HELP (4357) to receive support and resources. Support is available 24/7.

Exposure therapy for various mental health conditions like anxiety

Exposure therapy can be effective for several disorders, including obsessive-compulsive disorder (OCD), phobias, and social anxiety disorder. For OCD, a therapist might use this modality to gradually expose a person to an anxiety-inducing object. The therapist might ask a person to approach the anxiety-inducing object and eventually have them approach the object completely. 

For social anxiety disorder, therapists might ask a person to list anxiety-inducing social situations. The therapist might gradually expose the person to such situations, first by asking them to simply imagine themselves in a feared social context. The therapist may eventually ask the person to engage in brief real-life social situations, which may relieve their anxiety and reduce distressing symptoms over time.

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Dialectical behavior therapy (DBT)

Dialectical behavior therapy is a type of cognitive behavioral therapy that was developed by Marsha Linehan to treat people with intense emotions. Dialectical behavior therapy is often used to treat borderline personality disorder. The term “dialectical” refers to the practice of accepting two seemingly opposite things at once. In the case of borderline personality disorder, a person may be taught to acknowledge difficulty with emotional regulation while recognizing that they can do better each day. 

DBT also tends to be grounded in mindfulness. Clients are often taught to simply observe thoughts as they arise without identifying with them. For example, someone experiencing intense emotions might have negative thoughts about themselves and blame themselves for their anger. Mindfulness training can enable them to observe those thoughts without identifying with them. 

Where to find support for mental health challenges: depression, anxiety

Many credentialed therapists advertise their services online. Those who don’t have their own website might be listed on various platforms, such as BetterHelp. BetterHelp allows individuals to be matched with a credentialed mental health professional based on unique mental health needs and personal preferences. 

Advantages of speaking to a virtual counsellor 

Online therapy allows individuals to speak with a counsellor from anywhere in the UK. This may be helpful for those who are concerned about speaking with a mental health professional in their community. The perceived distance associated with online therapy may help people become more comfortable opening up to a therapist. 

Online therapy typically provides a larger network of therapists than what is available locally. This means that it may be easier to find a therapist who has experience in specific mental health areas. If a person doesn’t believe a specific therapist is a good fit for their needs, they can change therapists until they find the right one.

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Efficacy of virtual counselling

In recent years, several studies have demonstrated the effectiveness of online counselling. One systematic review and meta-analysis from 2020 found that electronic CBT (eCBT) was effective in treating depression. The review looked at studies conducted in multiple countries, namely the UK, Australia, Sweden, the Netherlands, Switzerland, and the United States. The authors of the study found that “eCBT was more effective than face-to-face CBT at reducing depression symptom severity.” (Note that the study uses the term “face-to-face therapy” to refer to in-person therapy. Online therapy can also be face-to-face via videoconferencing.) 

Takeaway

In recent years, online counselling has grown considerably in the UK. More and more therapists now serve people online from all over. Some credentialed therapists may offer information about their services on their own websites. Others may serve clients through an online counselling platform, such as BetterHelp. If you’re experiencing mental health challenges, help is available and easily accessible.

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