If you or your children are not safe, get help now. Visit a nearby emergency service, hospital, or police station immediately. The lines listed below are gender-based-violence lines.
Crisis numbers in the United Kingdom
- 24/7 Rape & Sexual Abuse Support Line (England and Wales): Tel: 0808 500 2222. 24 hours. For ages 16 and over.
- National Domestic Abuse Helpline: Tel: 0808 2000 247. 24 hours. For women facing domestic abuse, and friends, family or colleagues supporting someone.
- Men's Advice Line, for men experiencing domestic abuse: Tel: 0808 8010327. Weekdays, 10am to 5pm.
This page lists Couples Family Therapists in London. 6 in all.
What couples counselling works on, and what it does not decide
Couples counselling works with two people, and with what happens between them. It does not treat one of them.
Both partners usually attend 1. Couples counselling works on repeated arguments, an affair, sex, money, parenting, or a decision about separating.
It does not rule on who is right. It is not for married couples alone. Ask a practitioner which approach they use.
What a family therapist does, and who comes to the sessions
Everyone on this page describes their work as family or systemic therapy. Family therapy helps people in close relationships understand and support each other 2.
Family here means whoever those involved count as family. Sessions usually have more than one person in the room.
A therapist may also meet members on their own 3. Ask a practitioner who they would want in the room.
What this page filters on
These are the only filters: the specialism recorded as Couples and the professional title family therapist.
Fees, insurance and lower-cost options
Do affordable options exist in London?
South London and Maudsley NHS Foundation Trust Lambeth Talking Therapies. Phone +44 20 3228 6747. Talking Therapies care is free under the NHS. Adults aged 18 and older can refer themselves. You must live in Lambeth or have a Lambeth GP.
Frequently Asked Questions
Do both of us have to come?
Is this for married couples only?
No. Couples counselling is for people in a relationship, married or not, of any gender, living together or not. The same practitioners work with couples deciding whether to separate, and with couples who have already separated and are parenting together. Say which of those describes you at first contact.
Will the therapist say who is right?
No. The work is with what happens between two people rather than with a verdict on either of them. Effective work with couples needs its own theories and methods, drawn from research on relationships. Ask a practitioner how they handle it when you disagree in the room.
Can couples counselling be done online?
Yes, and many practitioners offer it. Couples therapy by video shows few significant differences from face-to-face sessions5. Symptom reduction, engagement and the therapeutic alliance are comparable.
Sitting in the same room at home suits some couples and not others. Ask what a practitioner offers.
What does relationship counselling cost in the United Kingdom?
Each practitioner sets their own fee; no published tariff applies. We will not print a range nobody has measured for couples work.
Four things move a fee. The practitioner's registration category, their experience, the session length, and whether you meet in a room or online.
Some counselling is free. The NHS names treatment at another NHS service, an employer, a school or university, and a charity as the routes6.
In England, couple therapy for depression is one of the talking therapies NHS services deliver. Those services are free to patients, and a couple can refer themselves7. The NHS offers counselling for certain conditions rather than for relationship difficulty in general.
Where a practitioner states a fee on their listing, that figure is their own. Ask before the first session, and ask whether the fee is charged per session or per person in the room.
Does relationship counselling work?
Couple therapy is an effective treatment for relationship distress, and the main models reach broadly similar results8.
In England the NHS commissions couple therapy for depression, on the strength of a NICE recommendation7.
Those findings describe groups of couples in studies. They are not a forecast about any one relationship, and nobody listed here can promise you an outcome.
What the research does not settle is which approach suits you. Ask a practitioner how they work with two people, and what they do when the two of you want different things.
What happens in a relationship counselling session?
Both partners usually attend together.
Practice differs on what comes first. Some approaches open with a formal assessment that combines joint and individual meetings. Others use no set assessment stage1.
Which route you take changes what you meet. Through an NHS talking therapies service in England the therapy comes from a set list, couple therapy for depression among it7. A practitioner you approach privately sets the shape of the work themselves.
Ask before you start whether the practitioner sees each partner alone. Ask what they do with what one partner tells them in private.
When should we go for relationship counselling?
There is no threshold you have to cross first. Relationship distress is one of the commonest reasons adults seek psychotherapy at all8.
Distress between partners travels. It is associated with mood, anxiety and substance-use difficulties in the partners themselves, and with difficulties for children in the household1.
Nobody has to send you. You can refer yourself to an NHS talking therapies service without speaking to a GP, and a practitioner you pay privately needs no referral either6.
Couples come with a repeating argument, with an affair, with a decision about whether to stay together, and with none of those. You do not have to agree on the problem before you make contact.
What these practitioners record
Who registers therapists in the United Kingdom?
Our records name no register for the title family therapist in the United Kingdom. See the United Kingdom page for the professions that do carry a register there.
Nearby places and related listings
- Couples Counsellors in London
- Couples Psychoanalysts in London
- Couples Psychologists in London
- Couples Psychotherapists in London
- Grief Family Therapists in London
- Black Female Psychotherapists in London, two filters on the full London psychotherapists list
- Black Male Psychotherapists in London, two filters on the full London psychotherapists list
- Male Psychotherapists in London, one filter on the full London psychotherapists list
- All therapists listed in London (376)
- Relationship counselling in London
References
Real choice. Authentic, independent, clinician-led care.
TherapyRoute is a clinician-led directory that champions independent practitioners who answer to you and their professional ethics. We don't take commissions, sell your data, or assign therapists by algorithm. You browse, compare, and choose.
Vincenzo (Enzo) Sinisi, Clinical Psychologist (HPCSA), Psychoanalyst (IPA/SAPA), Group Analyst (IGA)


