If you’re struggling with anxiety, depression, stress, bereavement, or relationship issues, counselling can be a powerful tool. There is growing awareness around mental health and a greater demand for professional support. In areas like Burnley, Padiham and the Ribble Valley more people are accessing therapy as a way of managing their mental health concerns or as a tool for self development.
One part of the decision process people face is whether to access free counselling services (such as those offered through the NHS or local charities) or to go private. In this blog, we explore the pros and cons of both to help you make the right choice for your wellbeing.
Free Counselling Services in the UK
NHS Talking Therapies
The NHS offers free counselling and psychotherapy services under the IAPT programme in England. If you’re based in Lancashire—whether in Burnley or nearby Padiham—you can self-refer or ask your GP.
Benefits:
• Free of charge
• Provided by qualified therapists
• Good for common mental health issues like anxiety and depression
Limitations:
• Waiting lists can be long
• Limited number of sessions
- Due to nature of short-term work, may only be able to focus on one main concern
• Less flexibility in choosing your therapist
Charity-Based Counselling
Various charities offer free or low-cost support across Lancashire, with services often tailored for specific needs, ie., relationship issues, grief and bereavement, trauma, and more.
Benefits:
• Often more local and community-based
• Can be tailored to specific needs (e.g. bereavement or youth counselling)
- Free or low cost
- No GP referral required
Limitations:
• Access and availability can vary
• Some services use trainees or volunteers
• May be short-term or group-base
Private Counselling and Psychotherapy
Choosing to see a private counsellor or psychotherapist in Burnley, Padiham, or the Ribble Valley gives you more control over your support
Benefits:
• Immediate access—no waiting list
• Choose a therapist who fits your needs and personality
• More session flexibility (including evenings/weekends)
• Ideal for long-term or specialist support (e.g. trauma, bereavement, or complex relationship issues)
Drawbacks:
• Cost ranges from £40–£100+ per session
• Need to do your own research to find a qualified counsellor
At The Hill Counselling Practice, you can arrange to book a consultation session with one of our practitioners, this gives you an opportunity to discuss what you are experiencing and whether counselling is the right thing for you going forward. You are under no obligation to book further sessions.
A Quick Comparison
| NHS/Charity | Private Counselling | |
| Cost | Free or low cost | £40 - £100+ per session |
| Wait time | Long (weeks/months) | Short (days) |
| Choice of therapist | Limited | Full control |
| Session flexibility | Restricted | High |
| Specialist help | May be limited | More readily available |
Can You Combine Both?
Yes! Many people start with free NHS therapy and move to private counselling for continued or specialised support.
Also, check:
• If your employer offers Employee Assistance Programmes (EAPs)
• If you’re a student, access university counselling services
• If any therapists near you offer low-cost options or sliding scale rate
Final Thoughts
Whether you’re in Burnley, Padiham, or elsewhere in Lancashire, help is out there. Choosing between free and private counselling comes down to your needs, budget, and preferences. What matters most is getting the support you need.
Need Help Now?
• Samaritans – Call 116 123 (24/7, free)
• Mind Lancashire – www.lancashiremind.org.uk
• NHS Mental Health – www.nhs.uk/mental-health