Week one
- Confirm your registration or accreditation is current
- Sort your professional indemnity insurance
- Register with the ICO for data protection
- Buy your domain name
Going into private practice is one of the most common moves in the mental health field. Setting up the business side, and being found by the right clients, is a different skill from the clinical work entirely. This guide covers both.
Requirements vary by professional background, so it is worth being precise about which body regulates or accredits you.
HCPC registration is a legal requirement to use the protected title. Your existing registration continues into private practice with nothing separate to apply for. British Psychological Society membership adds professional standing and access to their directory.
Counselling and psychotherapy are not currently statutorily regulated in the UK, so you can technically practise unregistered. In practice, accreditation with BACP, UKCP or another recognised body is expected by clients, insurers and EAP providers alike. If you are not yet accredited, it is worth understanding the route and working towards it early.
Your own professional indemnity insurance is essential. BACP, BPS and UKCP all offer member cover, and specialist providers are widely used. Make sure the policy covers your modality and any online or telephone work. You will also need to register with the ICO for data protection, since you hold client data.
Many therapists start with a mix of online sessions and rented rooms, hired by the hour through therapy centres, GP practices and wellness spaces. Rates vary by area but room hire is usually modest, and online practice cuts overheads considerably while widening your reach.
On testimonials: BACP's ethical framework advises caution about client testimonials, because of the power dynamic in a therapeutic relationship. Check your own body's guidance before using any. There are other ways to build trust online, and this is one place where the cautious answer is also the professional one.
Mental health is the most trust-sensitive area of healthcare there is. Someone choosing a therapist is making a personal and often vulnerable decision, and your online presence has to communicate safety and fit before they have spoken a word to you.
Keep it calm, clear and honest. It needs to say who you work with and what difficulties you support, communicate your approach and qualifications, and make the next step easy, whether that is an enquiry, a short consultation or a booking.
Be specific where you can. "I work with adults experiencing anxiety, depression and trauma" is far more useful to a prospective client than "I offer a range of therapeutic approaches", and it also happens to be far easier to rank.
Set one up even if you work mostly online, using a service area rather than a home address. Pick the most accurate category. A complete profile that is kept current will noticeably improve local visibility.
The BACP directory, Psychology Today and Counselling Directory are the most used by people looking for a therapist. These sites rank strongly and often appear above individual practitioner websites, so a well-written profile on each is worth real time.
People searching for a private therapist are usually searching at a particular moment of need. Appearing then, for the right things, matters more than appearing often.
On Google reviews: confidentiality makes asking clients directly a delicate matter. Some therapists mention it at ending or in a discharge letter. Others rely on supervisees, peer referrers and professional contacts instead. Let your professional body's guidance decide your approach rather than what a marketing article tells you.
Roughly ordered by priority. Work through it at a pace that suits you.
Legally no, since counselling and psychotherapy are not statutorily regulated in the UK. In practice accreditation strengthens credibility considerably, gives you access to the professional directories, and is often required by EAP providers and insurers. If you are not accredited yet, prioritise it.
The same principles apply online as in the room. Do not discuss clients publicly, do not share identifying details, and be careful about how specific any case example on your website is. Your body's ethical framework covers what is appropriate in marketing material.
Generally not while they are active clients in that setting, as it raises serious ethical and often contractual problems. If a former client approaches you later, seek supervision and check both your employer's policy and your professional body's guidance before agreeing to anything.
A complete profile on BACP or Psychology Today, a well-set-up Google Business Profile, contact with local GPs, word of mouth from colleagues, and organic search through your own website. Building a referral network takes time, and most new practitioners see a mix of directory enquiries and Google searches in the early months.
Not at all, and your caution is well founded. Clear credentials, a calm professional tone and genuinely useful content build trust perfectly well without them. Plenty of established private practices run entirely this way.
All of this is doable alone and many therapists do it. If you would rather not build the website, that is one of the things we do, priced as a one-off project rather than a retainer because that suits someone starting out.
On fit: our ongoing marketing work with therapy practices is for established practices that have a team, so a sole practitioner starting out is probably not right for a monthly retainer yet. A website is a different matter.
Also in this series: Physiotherapy · Speech & language therapy · Occupational therapy.
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