Counselling vs Psychological Therapy: How to Know where to Start

Written on: 17 March 2026

When people start thinking about getting support with their mental health, one of the first questions that comes up is: “Do I need counselling… or psychological therapy?”

It’s a common question – and one that can make taking the first step feel harder than it needs to be.

The truth is that you don’t need to have that answer before seeking support.

At Shore, we take a trauma-informed approach to mental health, which means we start from a place of curiosity and understanding rather than judgement.

For Many People, Counselling Is a Good Place to Start

Counselling offers a safe, confidential space to talk openly about what’s been
happening in your life.
Rather than focusing on diagnosis or treatment plans, counselling focuses on helping
you understand your experiences, emotions, and patterns through supportive
conversation.
People come to counselling for many different reasons. Often, it’s because they’re
navigating things like:

  • stress or burnout
  • relationship difficulties
  • grief or loss
  • life transitions or uncertainty
  • anxiety or feeling overwhelmed
  • feeling stuck or struggling to make sense of things

Counselling can be particularly helpful when you’re navigating life stress, relationship
challenges, anxiety, or periods of change.
You don’t need to be in crisis to benefit from counselling.
Many people simply want a space to talk things through and gain some perspective.
Sometimes just having a safe space to talk about what is going on for you can make a
big difference.

Signs Counselling Might Be Helpful

Counselling might be helpful if:

  • you feel overwhelmed but can’t quite explain why
  • you find yourself going over the same worries or situations repeatedly
  • relationships feel difficult or draining
  • something in your life has changed and you’re struggling to adjust
  • you’re carrying a lot but rarely talk about it

    Counselling gives you time and space to explore these experiences and begin to make
    sense of them. It’s very common to wonder whether your problems are “serious enough” for counselling. Many people seek support simply because life feels difficult or heavy for a while.

What Happens in a First Counselling Session?

If you decide to begin counselling, the first session is simply an opportunity to talk.
Your counsellor will invite you to talk a little about what brought you to counselling.
There’s no pressure to explain everything perfectly – many people arrive unsure where
to begin.
People often tell us they worry they won’t know what to say. That’s very common, and
your counsellor will help guide the conversation.
In a first session you might:

  • talk about what has been difficult recently
  • explore what you’d like to understand or change
  • ask any questions about counselling

    Many people leave their first session feeling relieved simply to have spoken openly
    about what they’ve been carrying.
    You’re not expected to have everything figured out before starting counselling.

What Is the Difference Between Counselling and
Psychological Therapy?

Sometimes people need a more structured therapeutic approach delivered by a
psychologist. These approaches often involve specific evidence-based methods and
may be helpful when someone is experiencing more complex or long-standing mental
health difficulties that require psychological treatment.
At Shore, our aim is always to match each person with the type of support that will be
most helpful for them.

Female counsellor smiling at client
Family with therapist
Couple in consultation with Therapist
woman with counsellor

Meet Our Counsellors at Shore

At Shore, our counsellors offer a warm, confidential space where you can talk about what’s been happening in your life at your own pace.
You may wish to learn more about the counsellors who work at Shore:

Debbie Sheringham - Counsellor & Psychotherapist at Shore Psychology
Debbie Sheringham
Counsellor & Psychotherapist

Supports adults navigating life transitions, anxiety, and relationship challenges

Katalin Thoman- Counsellor at Shore Psychology CIC
Katalin Thomann
Perinatal counsellor

Works with women and families during pregnancy and early parenthood

Nadia Giannelou- Counsellor at Shore Psychology
Nadia Giannelou
Counsellor & Psychotherapist

Supports individuals and couples navigating relationship challenges, emotional difficulties and life transitions