Reflection
How to Find a Psychotherapist in London
London has more therapists per square mile than almost any city in the world. It also has almost no barrier to entry. Anyone can call themselves a counsellor, a life coach, or a therapist. Finding a therapist requires some basic knowledge of what to look for and why.
Start with accreditation
The first filter is accreditation by a recognised professional body. In the UK, the primary organisations are:
UKCP The UK Council for Psychotherapy. Accreditation requires a minimum of four years of postgraduate training, personal therapy, clinical supervision, and ongoing continuing professional development.
BACP The British Association for Counselling and Psychotherapy. A wider membership organisation that includes counsellors as well as psychotherapists.
Accreditation does not guarantee that a particular therapist is the right fit for you. It does guarantee a minimum standard of training, a commitment to supervision, and accountability to an ethics procedure. A therapist who cannot tell you who they are accredited with is a therapist to leave.
Match the therapist to the presenting problem
Specialist presentations require specialist training. For eating disorders, look for clinical experience specifically with eating disorders, not a therapist who has done a single workshop. For addiction, Hazelden Foundation training or comparable specialist qualification is relevant. For trauma, EMDR Europe accreditation is the gold standard.
The first question to ask any prospective therapist is not about their therapeutic modality. It is: have you worked extensively with people presenting like me, and what was your training for this specific territory?
The therapeutic relationship matters more than the technique
Research consistently shows that the quality of the therapeutic alliance is one of the strongest predictors of outcome, across all modalities. You are allowed to see two or three therapists before committing. A competent therapist will not be threatened by direct questions about their training and experience.
“The single most important thing I would tell anyone looking for a therapist: ask the questions that feel difficult to ask. Ask about their experience with your specific presentation. Ask what they think is happening for you. A therapist who deflects these questions is telling you something important.”
Philippe Jacquet
A note on Harley Street
Harley Street is associated with senior, specialist private practice and carries reasonable expectations about the level of clinical experience you will encounter. It is a useful indicator, not, by itself, sufficient due diligence. Ask the same questions regardless of the address.
What a first session is for
A first session is a mutual assessment. You are not committing to a course of treatment. If you leave without any sense of being seen or understood. That is useful information. Not all therapeutic fits are productive, and the responsible response to a poor fit is an honest referral elsewhere.
EMDR therapy with 20+ years of clinical experience. Dr Philippe Jacquet is an EMDR practitioner with over 20 years’ experience. See the full EMDR therapy London page.
