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Home > Explore roles > Psychological professions > Roles in the psychological professions > Adult psychotherapist

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 [1], psychiatrists [2] and a range of other psychological professionals [3].

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 [2], psychologist [4], mental health nurse [1] or social worker [5]. 

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 [6] (UKCP), the Bri [7]tish Association for Counselling and Psychotherapy [7] or the British Psychoanalytic Council [8].

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  
  • Most jobs in the NHS are covered by the Agenda for Change (AfC) [9]pay scales. This pay system covers all staff except doctors, dentists and the most senior managers. 

    While training, you'll usually be paid at band 6. After completing their training, you'll be paid at band 7. Adult psychotherapists work full or part time. Terms and conditions can vary for employers outside of the NHS. 

  • As your professional experience and knowledge grows, you can move into more senior positions within psychotherapy services and beyond. There are opportunities to be involved in research and training people to become psychotherapists. As well as moving to more senior and specialised roles, you may also have the chance to take on additional responsibilities and progress within the organisation. 

    If you start NHS-funded training from April 2022, you will normally be unable to access further NHS-funded training for a new occupation in the psychological professions until two years after your qualifying exam board. Visit the funding for psychological professions training programmes web page [10] for more information about NHS funding.

  • Most NHS organisations advertise their job and apprenticeship vacancies on NHS Jobs [11], including those who run NHS services. Some advertise on their own websites. You can find a list of NHS organisations at NHS Choices [12].

    If you're applying for a role either directly in the NHS or in an organisation that provides NHS services, you'll be asked to show how you think the values of the NHS Constitution [13] apply in your everyday work. 

    Find out more about NHS values. [14]

    Find a vacancy

    • B7 Adult Psychotherapist - part time

      Chertsey, KT16 9FG

      Salary:
      £48270.00 to £54931.00
      Type:
      Permanent
      Employer:
      Surrey and Borders Partnership NHS Foundation Trust
      Apply now on NHS Jobs for B7 Adult Psychotherapist - part time job (opens in a new window) [15]
    • Principal Clinical/Counselling Psychologist or Adult Psychotherapist

      Colchester, CO1 1TY

      Salary:
      £62215.00 to £72293.00
      Type:
      Permanent
      Employer:
      Essex Partnership University NHS Foundation Trust
      Apply now on NHS Jobs for Principal Clinical/Counselling Psychologist or Adult Psychotherapist job (opens in a new window) [16]
    • Arts Psychotherapist

      Milton Keynes, MK14 6BL

      Salary:
      £46148.00 to £52809.00
      Type:
      Permanent
      Employer:
      Central and North West London NHS Foundation Trust
      Apply now on NHS Jobs for Arts Psychotherapist job (opens in a new window) [17]
    • Counsellor/Psychotherapist

      Cheney Manor, SN2 2PN

      Salary:
      £24000.00 to £27000.00
      Type:
      Permanent
      Employer:
      ABL Health Ltd
      Apply now on NHS Jobs for Counsellor/Psychotherapist job (opens in a new window) [18]
    • Art/Drama/Music Psychotherapist

      Nottingham, NG5 3FL

      Salary:
      £46148.00 to £52809.00
      Type:
      Permanent
      Employer:
      Nottinghamshire Healthcare NHS Foundation Trust
      Apply now on NHS Jobs for Art/Drama/Music Psychotherapist job (opens in a new window) [19]
    • Principal Clinical Psychologist / Psychotherapist

      Rotherham, S65 2QL

      Salary:
      £62215.00 to £72293.00
      Type:
      Permanent
      Employer:
      Rotherham Doncaster and South Humber NHSFT
      Apply now on NHS Jobs for Principal Clinical Psychologist / Psychotherapist job (opens in a new window) [20]
    • Specialist Psychotherapist/Clinical/Counselling Psychologist

      Slough, SL2 5BX

      Salary:
      £55877.00 to £62626.00
      Type:
      Permanent
      Employer:
      Berkshire Healthcare Foundation Trust
      Apply now on NHS Jobs for Specialist Psychotherapist/Clinical/Counselling Psychologist job (opens in a new window) [21]
    • Practitioner Psychologist, Psychotherapist & Psychological Therapist

      Croydon, CR0 1FE

      Salary:
      £61927.00 to £68676.00
      Type:
      Fixed-Term
      Employer:
      South London and Maudsley NHS Foundation Trust
      Apply now on NHS Jobs for Practitioner Psychologist, Psychotherapist & Psychological Therapist job (opens in a new window) [22]
    • Psychotherapist – Neonatal Intensive Care Unit

      London, E1 1FR

      Salary:
      £54320.00 to £60981.00
      Type:
      Permanent
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Psychotherapist – Neonatal Intensive Care Unit job (opens in a new window) [23]
    • Clinical Psychologist, Counselling Psychologist, Psychotherapist

      Stockwell, SW9 9NU

      Salary:
      £82462.00 to £93773.00
      Type:
      Permanent
      Employer:
      South London and Maudsley NHS Foundation Trust
      Apply now on NHS Jobs for Clinical Psychologist, Counselling Psychologist, Psychotherapist job (opens in a new window) [24]
    • Clinical/Counselling Psychologist/Psychotherapist Wigan SCMHT

      Wigan, WN3 4NW

      Salary:
      £53755.00 to £60504.00
      Type:
      Permanent
      Employer:
      Greater Manchester Mental Health NHSFT
      Apply now on NHS Jobs for Clinical/Counselling Psychologist/Psychotherapist Wigan SCMHT job (opens in a new window) [25]
    • Clinical Psychologist, Practitioner Psychologist or Psychotherapist

      High Wycombe, HP12 3RH

      Salary:
      £46148.00 to £60504.00
      Type:
      Permanent
      Employer:
      Hertfordshire Partnership University NHS Foundation Trust
      Apply now on NHS Jobs for Clinical Psychologist, Practitioner Psychologist or Psychotherapist job (opens in a new window) [26]
    • Clinical/Counselling Psychologist or CBT Psychotherapist

      Leeds, LS12 2LB

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Community Links
      Apply now on NHS Jobs for Clinical/Counselling Psychologist or CBT Psychotherapist job (opens in a new window) [27]
    • 8a Principal Psychologist/Psychotherapist-fixed term/secondment

      Leatherhead, KT22 7AD

      Salary:
      £55877.00 to £62626.00
      Type:
      Secondment
      Employer:
      Surrey and Borders Partnership NHS Foundation Trust
      Apply now on NHS Jobs for 8a Principal Psychologist/Psychotherapist-fixed term/secondment job (opens in a new window) [28]
    • Adult Safeguarding Practitioner

      Hemel Hempstead, HP1 1LD

      Salary:
      £39205.00 to £47084.00
      Type:
      Secondment
      Employer:
      Hertfordshire Partnership University NHS Foundation Trust
      Apply now on NHS Jobs for Adult Safeguarding Practitioner job (opens in a new window) [29]
    • Adult Locality Manager

      Harlow, CM17 9NA

      Salary:
      £53755.00 to £60504.00
      Type:
      Permanent
      Employer:
      NHS Hertfordshire and West Essex Integrated Care Board (468)
      Apply now on NHS Jobs for Adult Locality Manager job (opens in a new window) [30]
    • Occupational Therapist (Adults)

      Truro, TR1 3AY

      Salary:
      £38682.00 to £46580.00
      Type:
      Permanent
      Employer:
      Cornwall Council
      Apply now on NHS Jobs for Occupational Therapist (Adults) job (opens in a new window) [31]
    • Prison Adult Nursing Sister

      Market Drayton, TF92JL

      Salary:
      £37338.00 to £44962.00
      Type:
      Permanent
      Employer:
      Shropshire Community Health NHS Trust
      Apply now on NHS Jobs for Prison Adult Nursing Sister job (opens in a new window) [32]
    • Specialist Safeguarding Advisor - Adults

      Leeds, LS11 0DL

      Salary:
      £38682.00 to £46580.00
      Type:
      Permanent
      Employer:
      Leeds Community Healthcare NHS Trust
      Apply now on NHS Jobs for Specialist Safeguarding Advisor - Adults job (opens in a new window) [33]
    • Adults Principal Clinical Psychologist

      Birkenhead, Wirral, CH42 0LQ

      Salary:
      £62215.00 to £72293.00
      Type:
      Permanent
      Employer:
      Cheshire and Wirral Partnership NHS Foundation Trust
      Apply now on NHS Jobs for Adults Principal Clinical Psychologist job (opens in a new window) [34]
    • Adult Hospital Liaison Practitioner

      Rotherham, S60 2UD

      Salary:
      £37338.00 to £44962.00
      Type:
      Permanent
      Employer:
      Rotherham Doncaster and South Humber NHSFT
      Apply now on NHS Jobs for Adult Hospital Liaison Practitioner job (opens in a new window) [35]
    • Consultant - Home Treatment Team - Adult

      Ashton-under-Lyne, OL6 9RW

      Salary:
      £105504.00 to £139882.00
      Type:
      Permanent
      Employer:
      Pennine Care NHS FT
      Apply now on NHS Jobs for Consultant - Home Treatment Team - Adult job (opens in a new window) [36]
    • Principal Applied Psychologist - Older Adults

      Doncaster, DN4 8QN

      Salary:
      £62215.00 to £72293.00
      Type:
      Permanent
      Employer:
      Rotherham Doncaster and South Humber NHSFT
      Apply now on NHS Jobs for Principal Applied Psychologist - Older Adults job (opens in a new window) [37]
    • LAS CT General Adult Psychiatry

      Reading, RG30 4EJ

      Salary:
      £49909.00 to £61825.00
      Type:
      Fixed-Term
      Employer:
      Berkshire Healthcare Foundation Trust
      Apply now on NHS Jobs for LAS CT General Adult Psychiatry job (opens in a new window) [38]
    • Adult & Paediatric Crisis Worker - Darlaston

      Wednesbury, WS10 8SY

      Salary:
      £45.84 to £60.36
      Type:
      Permanent
      Employer:
      Mountain Healthcare Ltd
      Apply now on NHS Jobs for Adult & Paediatric Crisis Worker - Darlaston job (opens in a new window) [39]
    • Specialist Grade General Adult Psychiatry

      Abertystwyth, SY23 1HB

      Salary:
      £100870.00 to £111442.00
      Type:
      Permanent
      Employer:
      Hywel Dda University Health Board
      Apply now on NHS Jobs for Specialist Grade General Adult Psychiatry job (opens in a new window) [40]
    • Senior Lecturer in Adult Nursing

      Sheffield, S10 2BP

      Salary:
      £45413.00 to £57422.00
      Type:
      Permanent
      Employer:
      Sheffield Hallam University
      Apply now on NHS Jobs for Senior Lecturer in Adult Nursing job (opens in a new window) [41]
    • Adult Social Care Occupational Therapist

      Newcastle, ST5 7NJ

      Salary:
      £37338.00 to £44962.00
      Type:
      Permanent
      Employer:
      Midlands Partnership NHS Foundation Trust
      Apply now on NHS Jobs for Adult Social Care Occupational Therapist job (opens in a new window) [42]
    • Receptionist/Administrator - Adult Care Community

      Derby, DE1 2SX

      Salary:
      £24169.00
      Type:
      Permanent
      Employer:
      Derbyshire Healthcare NHS Foundation Trust
      Apply now on NHS Jobs for Receptionist/Administrator - Adult Care Community job (opens in a new window) [43]
    • Deputy Manager - Adult Disability Service

      Guernsey, GY4 6UU

      Salary:
      £46152.00 to £62310.00
      Type:
      Permanent
      Employer:
      States of Guernsey
      Apply now on NHS Jobs for Deputy Manager - Adult Disability Service job (opens in a new window) [44]
    • Occupational Therapist (Adult Eating Disorders)

      Tooting, SW17 7DJ

      Salary:
      £44806.00 to £53134.00
      Type:
      Permanent
      Employer:
      South West London and St Georges Mental Health NHS Trust
      Apply now on NHS Jobs for Occupational Therapist (Adult Eating Disorders) job (opens in a new window) [45]
    • Consultant in General Adult Psychiatry

      Telford, TF34NF

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Midlands Partnership NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in General Adult Psychiatry job (opens in a new window) [46]
    • Adult Secure Expert By Experience

      Cambridge, CB21 5EF

      Salary:
      £26530.00 to £29114.00
      Type:
      Permanent
      Employer:
      Cambridgeshire and Peterborough NHS Foundation Trust
      Apply now on NHS Jobs for Adult Secure Expert By Experience job (opens in a new window) [47]
    • Adult Disability Service - Deputy Manager

      Guernsey, GY4 6UU

      Salary:
      £46152.00 to £62310.00
      Type:
      Permanent
      Employer:
      States of Guernsey
      Apply now on NHS Jobs for Adult Disability Service - Deputy Manager job (opens in a new window) [48]
    • British Association for Counselling and Psychotherapy [7]
    • British Psychoanalytic Council [49]
    • UK Council for Psychotherapy [50]

Other roles that may interest you

  • Art therapist/art psychotherapist [51]
  • Mental health nurse [52]
  • Psychological wellbeing practitioner [53]
  • Assistant psychologist [54]

Source URL:https://www.healthcareers.nhs.uk/explore-roles/psychological-therapies/roles/psychotherapist

Links
[1] https://www.healthcareers.nhs.uk/explore-roles/nursing/mental-health-nurse [2] https://www.healthcareers.nhs.uk/explore-roles/psychiatry [3] https://www.healthcareers.nhs.uk/explore-roles/psychological-therapies/roles-psychological-therapies [4] https://www.healthcareers.nhs.uk/explore-roles/psychological-therapies/clinical-psychologist [5] https://www.healthcareers.nhs.uk/explore-roles/clinical-support-staff/social-worker [6] https://www.psychotherapy.org.uk/ [7] https://www.bacp.co.uk/ [8] https://www.bpc.org.uk/ [9] https://www.healthcareers.nhs.uk/about/careers-nhs/nhs-pay-and-benefits/agenda-change-pay-rates [10] https://www.hee.nhs.uk/our-work/mental-health/psychological-professions/funding-psychological-professions-training-programmes [11] http://www.jobs.nhs.uk/ [12] http://www.nhs.uk/aboutnhs/howthenhsworks/authoritiesandtrusts/Pages/Authoritiesandtrusts.aspx [13] https://www.healthcareers.nhs.uk/glossary#NHS_Constitution [14] https://www.healthcareers.nhs.uk/about/working-health/nhs-constitution [15] https://beta.jobs.nhs.uk/candidate/jobadvert/C9325-25-0350 [16] https://beta.jobs.nhs.uk/candidate/jobadvert/C9364-25-0646 [17] https://beta.jobs.nhs.uk/candidate/jobadvert/C9333-25-0802 [18] https://beta.jobs.nhs.uk/candidate/jobadvert/E0343-25-0015abl633g [19] https://beta.jobs.nhs.uk/candidate/jobadvert/C9186-25-0797 [20] https://beta.jobs.nhs.uk/candidate/jobadvert/C9376-25-0379 [21] https://beta.jobs.nhs.uk/candidate/jobadvert/C9371-25-0529 [22] https://beta.jobs.nhs.uk/candidate/jobadvert/C9334-25-0617 [23] https://beta.jobs.nhs.uk/candidate/jobadvert/C9259-25-1381 [24] https://beta.jobs.nhs.uk/candidate/jobadvert/C9334-25-0583 [25] https://beta.jobs.nhs.uk/candidate/jobadvert/C9437-25-0508 [26] https://beta.jobs.nhs.uk/candidate/jobadvert/C9367-25-0508 [27] https://beta.jobs.nhs.uk/candidate/jobadvert/B0447-25-0002 [28] https://beta.jobs.nhs.uk/candidate/jobadvert/C9325-25-0403 [29] https://beta.jobs.nhs.uk/candidate/jobadvert/C9367-25-0529 [30] https://beta.jobs.nhs.uk/candidate/jobadvert/D9468-25-0030 [31] https://beta.jobs.nhs.uk/candidate/jobadvert/F0021-700003074 [32] https://beta.jobs.nhs.uk/candidate/jobadvert/C9825-25-0167 [33] https://beta.jobs.nhs.uk/candidate/jobadvert/C9833-561-25 [34] https://beta.jobs.nhs.uk/candidate/jobadvert/C9373-25-0533 [35] https://beta.jobs.nhs.uk/candidate/jobadvert/C9376-25-0442 [36] https://beta.jobs.nhs.uk/candidate/jobadvert/C9311-25-0504 [37] https://beta.jobs.nhs.uk/candidate/jobadvert/C9376-25-0427 [38] https://beta.jobs.nhs.uk/candidate/jobadvert/C9371-D706LAS [39] https://beta.jobs.nhs.uk/candidate/jobadvert/E0166-25-0206 [40] https://beta.jobs.nhs.uk/candidate/jobadvert/H9100-25-0787 [41] https://beta.jobs.nhs.uk/candidate/jobadvert/N0013-25-0006-112307 [42] https://beta.jobs.nhs.uk/candidate/jobadvert/C9301-25-0806 [43] https://beta.jobs.nhs.uk/candidate/jobadvert/C9383-25-0353 [44] https://beta.jobs.nhs.uk/candidate/jobadvert/K0005-25-0085 [45] https://beta.jobs.nhs.uk/candidate/jobadvert/C9294-25-0307 [46] https://beta.jobs.nhs.uk/candidate/jobadvert/C9301-25-0680 [47] https://beta.jobs.nhs.uk/candidate/jobadvert/C9310-25-0603 [48] https://beta.jobs.nhs.uk/candidate/jobadvert/K0005-25-0086 [49] http://www.bpc.org.uk/ [50] http://www.psychotherapy.org.uk/ [51] https://www.healthcareers.nhs.uk/explore-roles/allied-health-professionals/roles-allied-health-professions/art-therapistart-psychotherapist [52] https://www.healthcareers.nhs.uk/explore-roles/nursing/roles-nursing/mental-health-nurse [53] https://www.healthcareers.nhs.uk/explore-roles/psychological-therapies/roles/psychological-wellbeing-practitioner [54] https://www.healthcareers.nhs.uk/explore-roles/psychological-therapies/roles/assistant-clinical-psychologist