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Andy Stein
May 15, 2026

NHS Talking Therapies (IAPT): What They Are and How to Access Them

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NHS Talking Therapies (IAPT): What They Are and How to Access Them

NHS Talking Therapies, previously known as IAPT (Improving Access to Psychological Therapies), are free NHS services that provide evidence-based talking treatments for common mental health problems.

They offer structured, confidential therapy to help people understand and manage their thoughts, feelings, and behaviours.


What Are NHS Talking Therapies?

NHS Talking Therapies are designed to support people with mild to moderate mental health difficulties. They are an effective alternative to medication for many people and, in some cases, are used alongside medication.

Therapy focuses on practical skills to help you cope better in daily life.

Common types of therapy offered include:

  • Cognitive Behavioural Therapy (CBT)
  • Guided self-help
  • Counselling for depression
  • Group therapy (in some areas)

What Conditions Can NHS Talking Therapies Help With?

NHS Talking Therapies can support people experiencing:

  • Depression
  • Anxiety disorders
  • Panic attacks
  • Phobias
  • Obsessive compulsive disorder (OCD)
  • Post-traumatic stress symptoms (PTSD)
  • Stress related to work, health, or life events

They are not usually designed for severe or complex mental illness, but therapists can help guide you to the right service if you need more specialist care.


How Many Sessions Will I Have?

Most people are initially offered around 6 sessions, though this can vary depending on your needs and the type of therapy. Some people may be offered more sessions if clinically appropriate.

Sessions are usually weekly and can be delivered:

  • Face-to-face
  • By phone
  • Online or via video call

How Do I Access NHS Talking Therapies?

Self-Referral (England)

In England, you can usually refer yourself directly—you do not need to see your GP first.

To find your local service:

  • Search online for “NHS Talking Therapies” plus your area
    (for example: “NHS Talking Therapies Oxford”)

  • Visit your local NHS trust or GP practice website

GP Referral

Your GP can also refer you if you prefer support with the process or if your situation is more complex.

Outside England

In Wales, Scotland, and Northern Ireland, access may differ and you may need a GP referral.


What Happens After Referral?

Once referred, you will usually:

  1. Complete an initial assessment
  2. Discuss your symptoms and goals
  3. Be offered a suitable type of therapy

Waiting times vary by area, but urgent cases are often prioritised.


Is NHS Talking Therapy Effective?

Yes. NHS Talking Therapies are based on strong research evidence and help many people improve their mental wellbeing. Many people find therapy helps them:

  • Understand their thoughts and behaviours
  • Develop coping strategies
  • Reduce symptoms
  • Regain confidence and control

Summary

NHS Talking Therapies (formerly IAPT) provide free, effective mental health support for common problems such as anxiety and depression. You can usually refer yourself directly, and support is flexible and confidential.

If you are struggling, reaching out to NHS Talking Therapies is a positive first step.

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