Marriage / Family Therapist
Accredited counsellor running online + in-person sessions
Accredited counsellor running online + in-person sessions.
As a marriage and family therapist, your day-to-day work involves conducting assessments, facilitating therapy sessions, and developing treatment plans tailored to individual and family needs. You may work in-person at a rented space or virtually through platforms like Zoom. Your sessions can vary in length but typically last around 50 minutes, and you might spend additional time on administrative tasks and client follow-ups.
The demand for mental health services in the UK has surged, particularly following the pandemic, with many people seeking support for relationship issues and family dynamics. Increased awareness around mental health issues means more individuals are willing to invest in therapy, making this an opportune time to establish yourself in the market.
An ideal founder is someone with a background in psychology or social work, along with the necessary accreditation from a recognised body like the BACP. Expect to dedicate significant time to building your practice, marketing your services, and managing client relationships. The emotional demands of the role require resilience and a genuine desire to help others navigate their challenges.
After 12-24 months of consistent effort, you can expect to have a steady stream of clients, potentially generating £40,000 to £60,000 in revenue, assuming an average of 15 sessions per week. If you expand to group therapy sessions or workshops, your earnings could increase significantly.
- Therapy
- Empathy
£60–£120 per session
You could expect a gross margin of about 60-70%.
The UK's focus on mental health has intensified, with 1 in 4 adults experiencing a mental health issue each year. Increased funding for mental health services and a cultural shift towards seeking help makes this the perfect time to enter the therapy space.
Individuals and couples seeking help with relationship issues, communication struggles, or family dynamics. Typically, clients are aged 25-50, often professionals or those navigating significant life changes.
The UK therapy market is expected to grow to £1.4 billion by 2025, driven by rising mental health awareness. Approximately 27% of adults in the UK have sought mental health support, indicating a substantial potential client base.
Revenue & pricing
You can charge between £60 and £120 per session, with options for package deals or sliding scale fees for lower-income clients to widen your reach.
- Individual session: £80
- Couples therapy (1 hour): £100
- Block of 5 sessions: £350
- Group therapy session (max 6 people): £40 each
Costs
- BACP accreditation fees300
- Website setup (Domain + hosting)200
- Marketing materials (flyers, business cards)150
- Insurance (professional liability)500
- SimplyBook subscription (annual)300
- Insurance (monthly)50
- Website maintenance20
- SimplyBook subscription25
- Advertising (social media)100
First steps
- 1Get accredited (BACP)
- 2Build practice
- 3Use SimplyBook
Your first 90 days
- Complete BACP registration and obtain insurance.
- Set up a professional website with booking capabilities.
- Create social media profiles to begin establishing an online presence.
- Develop marketing materials to distribute locally.
- Network with local healthcare professionals for referrals.
- Launch your website and start taking bookings.
- Conduct initial sessions and gather client feedback.
- Implement a referral programme to encourage word-of-mouth.
- Create valuable content (blogs/videos) to attract potential clients.
- Evaluate your initial marketing strategies and adjust as necessary.
How to get customers
Social Media
Use targeted ads on Facebook and Instagram to reach potential clients.
Networking
Connect with local healthcare providers for cross-referrals.
SEO
Optimise your website for local search terms to improve visibility.
Workshops
Host free or low-cost workshops to showcase your expertise and attract clients.
Tools you'll actually use
| Tool | Cost | Why |
|---|---|---|
| Tide Business Account | Free | Easy banking solution for managing finances. |
| Xero | £10/month | Accounting software to manage invoices and expenses. |
| Calendly | Free | Scheduling tool for booking appointments efficiently. |
| Stripe | 2.9% + 20p per transaction | Payment processing for online client payments. |
| Notion | Free | Organise client notes and session plans securely. |
Common mistakes to avoid
- Underpricing sessions, leading to unsustainable income.
- Neglecting marketing, resulting in slow client acquisition.
- Failing to seek supervision or peer support, impacting service quality.
- Ignoring GDPR compliance in client data handling.
- Overlooking the importance of self-care, leading to burnout.
How to scale this
- 1Start as a solo practitioner offering individual sessions.
- 2Introduce group therapy or workshops to diversify income.
- 3Consider hiring additional therapists to expand services.
- 4Create online courses or resources to reach a broader audience.
Risks & mitigations
Client retention may be low initially.
Implement a follow-up and feedback system to improve services.
Burnout from emotional demands.
Regular supervision and self-care practices are essential.
Regulatory changes affecting practice.
Stay informed about industry standards and compliance.
Competition from established therapists.
Differentiate services through niche marketing and unique offerings.
UK legal & compliance
- Register with HMRC as self-employed and keep accurate financial records.
- Obtain professional indemnity insurance to protect against claims.
- Ensure compliance with GDPR for client data protection and privacy.
- Follow BACP ethical guidelines to maintain accreditation.
FAQ
How long does it take to get accredited?
Typically, it takes 1-2 years to complete the necessary training and accreditation processes.
Can I offer therapy online?
Yes, online therapy is becoming increasingly accepted and is a viable option.
What if I don’t have enough clients?
Implement marketing strategies and consider networking to build your client base.
Do I need a special license?
While specific licensing isn't required, accreditation from a recognised body like BACP is essential.
Can I work part-time?
Yes, many therapists start part-time while building their practice.
Ready to start this one?
Every business idea on this site needs two things from day one: a separate business bank account and a way to float expenses. Here are the two we recommend.
Tide Business Bank Account
The UK's most popular digital business bank account — free, opens in 5 minutes.
Free cash when you spend £100 in your first 30 days + deposit £5k in a Tide Instant Saver.
- Free business current account — no monthly fee
- £200 free cash (spend £100 in 30 days + deposit £5k)
- No credit check required to open
- Open your account in under 5 minutes
- Free bank transfers for your first year
Capital on Tap Business Credit Card
The UK's highest-rated business credit card — 1% cashback, up to £250k credit, no annual fee.
Worth £75. Awarded after your first card transaction within 30 days.
- 7,500 bonus reward points (worth £75) on first transaction within 30 days
- 1% uncapped cashback on every pound you spend
- Credit limits from £1,000 to £250,000
- No joining fee or annual fee
- Free additional employee cards