How to Begin Online Therapy
- carolfoote1
- May 2
- 5 min read
Starting therapy can feel like a big step. Adding the online element might make it even more confusing. But online therapy has become a trusted way to get support from the comfort of your home. It offers flexibility, privacy, and access to professional help no matter where you live. If you are thinking about taking this step, I want to guide you through the process in a clear and gentle way.
Understanding Online Therapy and Its Benefits
Online therapy means talking to a qualified therapist via video, phone, or messaging. It works just like face-to-face therapy but without needing to travel. This can be a huge relief if you have a busy schedule, mobility issues, live in a remote or rural area off the bus route, or don't drive or have access to a vehicle.
Some benefits of online therapy include:
Convenience: You can schedule sessions around your day and join from anywhere.
Comfort: Being in your own space can help you feel more relaxed.
Access: You can find therapists who specialise in your needs, even if they are not nearby.
Privacy: You avoid waiting rooms, travel and accessing parking, which some find stressful.
Online therapy is not for everyone, but many people find it a helpful way to start or continue their mental health journey. It’s important to find a service that feels right for you.

How to Choose the Right Online Therapy Service
Choosing where to get therapy is a personal decision. You want to feel safe, understood, and supported. Here are some things to think about when picking an online therapy provider:
Qualifications: Ensure the therapists are registered with recognised UK bodies, such as the United Kingdom Council for Psychotherapy or British Association for Counselling and Psychotherapy (BACP). Search the registers to check they have up-to-date registration.
Specialisms: Some therapists focus on anxiety, depression, trauma, or relationship issues. Look for someone who matches your needs.
Session format: Decide whether you prefer video, phone, or messaging. Some services offer only one, others all the options.
Cost and payment: Therapy can be an investment. See if the service offers clear pricing or sliding scales.
Reviews and reputation: UKCP and BACP do not allow their therapists to post client reviews due to confidentiality.
One well-known online therapy service in the UK is St. Andrew's Counselling & Psychotherapy. They offer professional support online only. They have been offering counselling and psychotherapy since 2011.
St Andrews Counselling & Psychotherapy provides outcome-led support with a focus on personal growth, life transitions, burnout and relationship issues. Their therapists are experienced in working with a wide range of issues, including anxiety and depression, and offer flexible online sessions. You can learn more about them here.
Steps to Start Online Therapy in the UK
Starting therapy online is easier than you might think. Here’s a simple step-by-step guide to help you begin:
Reflect on your needs
Think about what you want from therapy. Are you looking for help with stress, relationships, or something else? Knowing this helps you find the right therapist. Writing this down can help you focus on your issue.
Research providers
Use trusted websites or recommendations to find online therapy services. Check their credentials and read about their approach.
Contact the service
Most providers offer an easy online initial contact process. You fill out a form, and then when the therapist gets back to you, you have a short call to discuss your needs. This is an opportunity to check how you feel about the therapist and whether they are warm and approachable. Do they give you time to talk about what's bothering you? Do they encourage you to ask questions? Do they tell you all about how they work? Do you feel this therapist is a good fit for me?
Schedule your first session
Arrange a time that suits you and your therapist. Make sure you have a quiet, private space for your session and that your broadband speed in that space is OK. There's usually some paperwork to read through, which provides information about the practice, ethical and confidentiality issues, and often a cancellation policy. Here at St Andrews Counselling & Psychotherapy, we ask for at least 24 hours' notice to cancel your scheduled appointment. Within 24 hours, we ask for payment for the cancelled session.
Prepare for your session
Think about what you want to talk about. It’s okay to feel nervous. Therapists are there to listen and support you.
Attend your session
Connect via the agreed method, we use Zoom and send the link out a few days before your appointment. It's important to be on time so you get therapy for the full 60 minutes. Be as honest and open as you can, and we can work together at your own pace.
Review and continue
After your session, reflect on how it felt. Keep a therapy journal to note down the main points you found helpful and those you did not, and what you'd like to focus on at your next therapy session.
If you want to start online therapy uk, St Andrews Counselling & Psychotherapy offers a clear and supportive way to begin. We guide you gently through every step.

What to Expect During Online Therapy Sessions
Many people wonder how online therapy feels compared to in-person sessions. Here’s what you can expect:
A supportive space: We will create a welcoming, non-judgmental environment where you feel comfortable and able to talk.
Confidentiality: Sessions are private and secure, just like face-to-face therapy. In the UK, certain exceptions to confidentiality apply, which we will discuss with you so you are clear.
Communication: You can speak freely, and your therapist will listen carefully.
Tech setup: You’ll use Zoom, a secure video-calling platform. It’s normal to have a quick tech check before starting.
Pace: Therapy moves at your speed. You decide what to share and when.
Some people find it easier to open up online, while others take time to adjust. It’s okay to share any concerns with your therapist.
Tips for Making the Most of Online Therapy
To get the best from your sessions, try these tips:
Choose a quiet, private spot where you won’t be disturbed or overheard by others.
Put your phone elsewhere where you won't be distracted by messages or notifications.
Use headphones or earbuds to improve sound quality and privacy.
Be honest about your feelings and experiences. Ask questions.
Set goals with your therapist to track progress.
Keep a journal between sessions to note thoughts or questions.
Be patient with yourself and the process.
Remember, therapy is a journey. It’s normal to have ups and downs. Your therapist is there to support you every step of the way.

When to Seek Additional Support
Online therapy is a great option for many, but sometimes you might need extra help. If you experience severe symptoms, thoughts of self-harm, or crisis situations, it’s important to reach out to emergency services or specialised support immediately.
You can also combine online therapy with other forms of support, such as:
Talking to your GP
Joining support groups
Using helplines like Samaritans or Mind
Online therapy can be part of a wider plan to improve your mental health.
Starting therapy is a brave and positive step. Online therapy in the UK offers a flexible and accessible way to get the help you deserve. By choosing the right service, preparing for your sessions, and being open to the process, you can find support that fits your life.
If you are ready to start online therapy uk, consider trusted providers like St Andrews Counselling & Psychotherapy. They offer professional, outcome-led support designed to help you grow and heal.
Take the first step today. Your well-being matters, and help is just a click away.





Comments