Adult psychotherapist

Adult psychotherapists work with adults to assess and treat a range of emotional, social or mental health issues.  

You'll help adults tackle problems such as behavioural issues, common challenges such as anxiety and depression or more complex or severe issues, such as psychosis or a personality disorder diagnosis.   

Working life

Treatment usually begins with an assessment which takes place over a number of sessions between you and the patient. 

Having trained in one or more psychotherapeutic approaches, you will provide therapy to help people change the ways they think and behave or find better ways to cope. This therapy will provide space for them to express their feelings and gain a deeper insight into the issues they face. This could include group sessions. 

Where will I work? 

You are likely to work in: 

  • hospitals
  • local clinics and health centres
  • in the community
  • an Improving Access to Psychological Therapies service

You’ll also work in a multi-disciplinary team including mental health nurses, psychiatrists and a range of other psychological professionals.

Entry requirements 

To practise as an adult psychotherapist, you’ll need to undertake appropriate recognised training. You’ll usually need an undergraduate degree in a relevant subject and/or be a qualified and experienced healthcare practitioner, such as a psychiatrist, psychologist, mental health nurse or social worker

To secure a place on a psychotherapy training course, you will also need to be able to demonstrate that you have relevant experience. 

Employers will indicate through the job description/person specification exactly which qualifications they will consider when selecting applicants for psychotherapist roles. 

Training 

Training usually takes four years, combining study with clinical training under supervision and provided by a number of organisations, which are usually accredited by the UK Council for Psychotherapy (UKCP), the British Association for Counselling and Psychotherapy or the British Psychoanalytic Council.

Clinical training consists of intensive treatment of patients carried out under supervision. Clinical discussions combining theory and practice are held throughout the period of training. Alongside your training, you will be expected to undertake your own personal therapy to build your self-awareness and expand on your ability to relate to others.  

The application process for psychotherapy training is administered directly by the individual organisations running the courses.

Must-have skills  

You’ll need a range of skills to be a psychotherapist, including: 

  • a keen awareness of people and their behaviour
  • a capacity for study and continued learning
  • the ability to relate to a wide range of people
  • excellent communication skills
  • the ability to work on your own as well as in consultation with others
  • a responsible, professional approach, respecting the confidentiality of patients
  • emotional resilience and maturity
  • self awareness 
  • the ability to empathise with others and make positive relationships 
  • an openness to addressing issues of prejudice and oppression  

Other roles that may interest you

Make a comment or report a problem with this page

Help us improve

This form is for you to tell us about something that could be improved about the website or if there's anything wrong, incorrect or inaccurate with what you see. 

If you have a query about a career in the NHS, please visit our contact us page and call or email us.