
Couples Therapy
Couples come to therapy at different stages of their relationship, some seek treatment because they struggle to communicate effectively with one another or they find themselves stuck in unhelpful patterns.
A couple therapist can help them identify the underlying causes of their difficulties which can offer both partners a better understanding of what is underpinning their problems and lead to a more constructive way of relating.
How to apply and the initial consultation
Before booking you in for an initial consultation, we ask you both to fill out a questionnaire and send it back to us. There is an admin fee of £30 payable at this stage.
Both of you would be invited to an initial consultation with a couple psychotherapist who will think with you about the most helpful way forward. The couple psychotherapist would meet with you for two or three assessment appointments, depending on how many they deem to be appropriate for you. The fee for the consultation appointments is £175.
The BPF is a registered charity and therefore, in line with our charitable aims, we do have a limited number of lower-fee initial consultations which can be offered in some circumstances.
We have some low-fee vacancies, which are provided by experienced psychotherapists undertaking a specialist advanced training in couple psychotherapy. Please see information below for Low-fee couples therapy and vacancies available.
Following the initial consultation
Following on from the initial consultation and if couple therapy is right way forwards for you both, we would allocate you to an appropriate clinician for ongoing treatment, taking into account your availability and circumstances.
If it looks like couple therapy isn’t going to be the right kind of help for you, then we will signpost you to other options.
Please enquire by using the button below, or by emailing Clinical Services.

- Low-fee Couples Therapy and vacancies
- FAQs
We have some low-fee vacancies, which are provided by experienced psychotherapists undertaking a specialist advanced training in couple psychotherapy. Low-fee couple therapy sessions take place once per week and in-person only.
We do our best to accommodate individual needs with regard to location and times available for therapy. This is a service that takes into account your particular financial circumstances and the fee range is from £20 to £50 per session. Please note that the low-fee service is subject to availability.
To be considered for a low fee vacancy, you will need to make a 12 month minimum commitment, involving one session per week in-person.
Below is a list of the current vacancies available for low-fee psychotherapy. The list gets updated every few weeks.
- Bromley/ West Wickham, London (BR4)
- Harrow, London (HA3)
- Harpenden, Hertfordshire (AL5)
The application process and fees are listed as above under ‘how to apply and the initial consultation’.
Please enquire by using the button above, or by emailing Clinical Services.
What is couple therapy and how can it help?
Most couples experience difficulties in their relationship at some point, often to do with communication or life transitions. Problems might remain unspoken and may resolve spontaneously. But sometimes things may continue unaddressed and couples can get stuck, caught in cycles of recrimination and misunderstanding. This is when seeking therapy as a couple can be helpful. By ‘couple relationship’ we mean the diverse range of adult partnerships regardless of sexual orientation, gender identity, living together or apart, with or without children, and throughout the life cycle
What kinds of difficulties might couple therapy help with?
Though not an exhaustive list, some of the issues which can be helped by couple therapy include the following: loss and bereavement, separation and divorce, the decision about whether to separate, the impact of affairs, problems with sex, sexuality and gender, illness and death, fertility and conception, parenting, extended family problems, adoption and kinship care. For many, it’s not just that there are difficulties in the relationship, but that it is difficult to talk about them.
What happens in the sessions?
Couple therapy provides a safe setting, where you can work with your therapist to get greater clarity and understanding about your situation. It will help you to identify the roots of the difficulties in the relationships and find new ways of thinking about your difficulties and resolving your problems, facilitating positive changes for both partners and the couple relationship. There is now a strong evidence base for the effectiveness of couple therapy for both individuals as well as the couple’s relationship, and couple therapy is recommended in the NICE guidelines particularly for depression.
Is it just about making people stay together?
Couple psychotherapy does not attempt to just keep a relationship going at all costs. Rather, couple therapy works to support the couple, as well as each individual partner in the relationship, to reach whatever decision is right for them, including considering whether either or both partners could benefit from additional support individually or whether separation is the best way forwards.

Contact Clinical Services
Email Clinical Services at: [email protected]