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What does “talking therapy” actually mean?

You’ll often hear the term “talking therapy” used when people discuss mental health support, but it isn’t always clear what it actually involves. If you’re new to therapy or mental health care, the phrase can sound a little vague, and you may be wondering what it means in practice. In simple terms, it refers to a range of treatments that involve speaking with a trained professional to explore your thoughts, feelings and experiences in a safe and structured way.

Talking therapy isn’t about finding quick solutions or being told what to do. Instead, it offers you a space to make sense of what’s been going on in your life, and develop healthier ways of coping. Sessions usually take place one-to-one, though group and online options are also common. In the UK, talking therapies are delivered both through the NHS and privately, and are provided by trained professionals such as clinical psychologists, counsellors, and psychotherapists.

There are many different types, each with its own approach. Some, like Cognitive Behavioural Therapy (CBT), focus on the connection between thoughts, feelings, and behaviours, and aim to help you develop practical strategies for managing difficulties. Many NHS talking therapy services focus on CBT or CBT-informed approaches. Other techniques may take a more exploratory approach, examining at your past experiences, relationships, or behavioural patterns that may be influencing how you feel today. Your therapist will usually explain how they work and help you understand what approach might suit you best.

Talking therapy can be helpful for a wide range of concerns, from anxiety and low mood to stress, trauma, and relationship difficulties. It can also be useful even if you don’t have a clear diagnosis but know that something doesn’t feel quite right. The focus is on your experience and what you need rather than fitting you into a specific label.

At its core, talking therapy is about you having a supportive space to be heard without judgement. It’s a collaborative process between you and your therapist, and it moves at your pace. The goal is helping you better understand yourself and find ways to feel more supported in everyday life.

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