
Where therapists work and what they do
The counselling professions include a range of different titles and specialisms, with practitioners working in settings ranging from healthcare and education to workplaces or voluntary groups. Counsellors and psychotherapists play a crucial role in improving the health and wellbeing of our society. They help people to talk about their feelings, think about their choices or their behaviour, and make positive changes in their lives. Professional counselors do not practice in a vacuum. Counselors practice, regardless of the setting, in community with others. Counselors practice in neighborhoods, in schools, in mental health agencies, in inpatient mental health hospitals, in colleges, in homes, in homeless shelters, in assisted living homes, in prisons, and the list goes on.
What counsellors do
People seek counselling to help them resolve emotional, psychological and relationship issues. Clients may be experiencing difficult and distressing events in their lives, such as bereavement, divorce, health problems or job concerns. Or they may have more general underlying feelings of anxiety or dissatisfaction with life.
Some clients feel isolated and have no one else to talk to, but even people with supportive family and friends can find it difficult to talk to loved ones about feeling anxious or depressed. They may find it easier to talk about personal, family or relationship issues with an independent professional therapist.
Counselling involves a series of formal sessions where the therapist and the client talk about the client’s issues and feelings. Even short-term therapy typically involves six to 12 sessions. The sessions take place at a regular, agreed time and in a ‘safe’ private place where the client and therapist will not be overheard or interrupted.
Therapy may involve talking about life events, feelings, emotions, relationships, ways of thinking and patterns of behaviour. The therapist will listen, encourage and empathise, but will also challenge to help the client to see their issues more clearly or from a different perspective.
Counselling is not about giving advice or opinions, nor is it a friendly chat with a friend. The therapist helps the client to understand themselves better and find their own solutions to resolve or cope with their situation.
Where they work
Therapists may work with individuals, couples, families or groups, and may provide counselling face-to-face, over the telephone or online. They can work in a variety of settings, such as schools, universities and colleges, GP surgeries and hospitals, in the workplace, addiction agencies, disability support groups or private practice.
Therapists may specialise in specific fields, such as addiction or relationships, or may work with clients on a wide range of issues. Some counsellors have dual roles, such as counsellor and teacher, welfare and advice worker, coordinator and nurse. Others work on a purely voluntary basis, with many helplines staffed by people with counselling skills.
Types of Therapists
There are many different ways of working with clients, usually referred to as 'theoretical approaches' or 'modalities'. These range from Freud's psychoanalysis to humanistic counselling, based on personal growth and self-development, or behavioural therapies used for specific phobias and anxieties.
Therapists usually train in one model of therapy - or modality -but may use different techniques where they think it would be helpful for a client. Or they may use specific approaches for specific issues
How to become a counsellor or psychotherapist
Starting out on a counselling or psychotherapy career is a big step. It will take a great deal of time and dedication, it costs a significant amount of money, and it can be personally and emotionally challenging. You’ll need to think about how it will affect you and your family.
But if it’s the right career for you, the rewards and satisfaction once you have qualified will outweigh the initial costs.
Here are some of the things you’ll need to think about:
Personal qualities
To be a therapist, you need to be:

Registered Membership
All practising members of UCA must either be registered or be working towards registration. Joining the UCA Register demonstrates that you meet high standards of proficiency, professionalism and ethical practice. Increasingly employers and clients are checking the Register when recruiting or choosing a therapist.

Registered Membership
All practising members of UCA must either be registered or be working towards registration. Joining the UCA Register demonstrates that you meet high standards of proficiency, professionalism and ethical practice. Increasingly employers and clients are checking the Register when recruiting or choosing a therapist.