Registration Form - My Therapist Online

You've taken an important first step.

Your answers below help our clinical team personally match you with the right therapist for your specific situation. This form takes less than 5 minutes to complete.

Everything you share is confidential and reviewed by a qualified clinician - not processed by an algorithm.

"The matching process was brilliant - they really understood what I needed."

— Sarah, treated for Anxiety & Depression

First Name (person wanting therapy))

Last Name

I am looking for

Individual Therapy Couples / Relationship Therapy Group / Family Therapy

Age

As you are under 18, we require contact details of the trusted adult supporting you with your application.

Age of minor

Trusted adult full name

Trusted adult email

Please indicate your relationship with your trusted adult

Please expand on the particular problems you would like help with

How often do these challenges affect you?

Constantly (almost all the time) Daily (at least once a day) Frequently (A few times a week) Other

Please describe how often these challenges affect you

Can you identify any triggers or events that seem to be linked to these challenges?

Please tell us about your support here

Have you tried any self-help or coping strategies that have been particularly effective or ineffective for you?

Yes No

Please provide details here

Are you looking for a specific therapeutic approach (e.g. CBT)?

Yes Not sure No

Please select:

Which therapeutic approach are you interested in?

Have you ever been diagnosed with a mental health condition?

Yes Prefer not to say No

Please expand on your diagnosis here

Are you currently taking any medications or receiving any other forms of treatment?

Yes No

Please list all medications & treatments here

Do you have any specific goals or outcomes you hope to achieve through therapy?

Yes No

Tell us your goals for therapy

Is there anything else about your background, history, or current circumstances that you believe is important for a potential therapist to know?

Have you ever considered ending your life?

No, never I have thought about it, but I would never act on it Within the past 3 months I have made plans to or attempted to end my life I am planning to end my life

By selecting this option, please continue

To better understand your level of risk, please provide us with some information about your recent plan or attempt?

More recently, have you been experiencing suicidal thoughts? If so, have you contemplated specific methods or had any intentions of acting upon these thoughts?

Have you taken any steps, started preparations, or made any plans to end your life?

What safety measures or plans do you currently have in place to keep yourself safe?

A note on session costs - before we match you:

Counsellors — from £60 per session
CBT Therapists — from £80 per session
Psychologists — from £100 per session

Most people find meaningful progress happens over several sessions. To support consistency, we offer a small saving for people who choose to commit to a block of sessions with their therapist. Details of our commitment savings will be sent with your therapist recommendations.

Do you have any specific preferences for your therapist (e.g gender)?

Yes No preferences

Let us know any other preferences

Not sure which type of therapist is right for you? We'll help match you — but here's a quick guide to what makes each different:

Counsellors offer a safe, supportive space to talk through your feelings and experiences. They're well suited to life difficulties, relationship issues, grief, stress, and personal development - and tend to be the most accessible entry point into therapy.

CBT (Cognitive Behavioural Therapy) therapists use a structured, evidence-based approach to help you identify and change unhelpful thought patterns and behaviours. Particularly effective for anxiety, depression, OCD, and phobias. Sessions tend to be goal-focused with practical techniques to use between appointments.

Psychologists hold a doctoral-level qualification and are trained in both assessment and therapy. They work with more complex or long-standing mental health difficulties and can draw on a wider range of therapeutic approaches. Their higher fees reflect their extended training and the depth of work they're able to offer.

I understand and can afford these sessions

I would prefer to work with a:

My sessions will be paid for by

Please select: