Online therapy has become an increasingly common way for people in the UK to access mental health support. Instead of attending sessions in person, therapy can take place through video calls, phone calls, messaging platforms, or online programmes.
For many people, online therapy offers a more flexible way to access support, particularly if in-person services are difficult to access or waiting lists are long.
At a glance
- Online therapy is delivered via video, phone, or messaging
- NHS Talking Therapies offer online formats in many areas
- Private online therapy is often more affordable than in-person
- Online therapy is not suitable for crisis or severe mental health needs
What is online therapy?
Online therapy refers to psychological support delivered remotely through digital platforms.
Sessions may take place through:
- video consultations
- phone calls
- secure messaging platforms
- structured online therapy programmes
According to NHS guidance, many psychological therapies can be delivered effectively online or by telephone depending on the treatment approach.
Source: NHS – Talking therapies and counselling
What types of online therapy are available
Online therapy can include CBT, counselling, and guided self-help programmes, available through both NHS and private services. NHS Talking Therapies offer online formats in many areas, and several private platforms provide online-only therapy. The guides below explain therapy types and NHS access in more detail.
Therapy types explained:
Mental Health Therapy Options in the UKFree NHS online therapy:
NHS Talking Therapies ExplainedPrivate online therapy services
In addition to NHS services, many private therapists offer online therapy sessions.
Private online therapy may provide:
- flexible appointment times
- wider choice of therapists
- faster access to treatment
Sessions may take place through secure video platforms or specialist therapy applications.
Benefits of online therapy
Online therapy may offer several advantages, including:
- greater flexibility for appointments
- access from home or other convenient locations
- reduced travel time
- wider choice of therapists
For some people, remote therapy can make mental health support easier to access.
Not sure if online therapy is right for you?
A care navigator can talk through online and in-person therapy options based on your situation — written plan within 48 hours.
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When online therapy may not be suitable
While online therapy can work well for many people, some situations may require in-person care or specialist services.
For example:
- severe mental health crises
- urgent psychiatric care
- situations requiring medical supervision
In these cases, NHS crisis services or specialist teams may be involved.
Source: NHS – Urgent mental health help
Learn more:
Mental Health Crisis Support in the UKNavigating therapy options
Online therapy is one of several ways people can access mental health support in the UK.
Understanding the different therapy options available—whether NHS or private, online or in-person—can help you find the best support for your needs.
Explore other therapy options:
Mental Health Therapy Options in the UKReady to explore mental health support options?
Find Care Compare helps patients understand mental health care pathways and explore available providers.
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Information in this guide is based on NHS guidance about online therapy.
Related guides
Mental Health Therapy Options in the UK
An overview of therapy types available in the UK — CBT, counselling, psychotherapy, guided self-help, and group therapy.
NHS Talking Therapies Explained
Free NHS psychological therapy for anxiety, depression, and common mental health conditions — self-referral available in most areas.
Private Therapy in the UK: A Practical Guide
Understand how private therapy works in the UK — costs, accreditation, and how to find a regulated therapist.
How to Get Therapy in the UK
Understand the three main ways to access therapy in the UK — NHS, charity, and private — and how to choose the right route.