The Lyceum

Private CBT in West London: waiting times, cost and options

Specialist CBT therapy for anxiety, OCD, depression and more in West London

Publicly funded and private therapy are different routes into psychological care in West London. Publicly funded therapy can be free at the point of use, while private therapy is self-funded or may be supported by an individual insurance or cash-plan benefit. Local access arrangements, continuity, current appointment availability and funding all vary. Public service pathways may have different referral routes, eligibility criteria, assessment arrangements and planned session structures. Published access data can provide context, but it cannot predict an individual timeline. Private therapy may offer a choice of therapist and an opportunity to discuss continuity, format and pace of care. At The Lyceum, sessions are £110 online and £140 face-to-face in Chiswick, Ealing or Richmond; current availability should be confirmed directly. Starting with a public route Publicly funded talking-therapy services may be a relevant first route for many people. Local arrangements can differ, and self-referral is not available everywhere or for every presentation. A service assessment may consider the difficulty, risk, access needs, physical health and whether a different local service is more appropriate. It is sensible to check current information directly rather than assume a published waiting time, programme length or eligibility rule applies to you. Considering private therapy Private therapy does not automatically mean quicker access, a better clinical fit or a fixed treatment plan. It gives a person the opportunity to ask about current appointment availability, qualifications, approach, location, online arrangements, fees and how progress is reviewed. Before choosing a clinician, it can be useful to ask what type of assessment is offered, whether the therapist works with the presenting concern and what happens if medical, specialist or urgent support is needed. Funding, insurance and practical decisions An insurance or workplace cash-plan benefit may contribute to fees, but cover is individual. Check the insurer’s requirements directly before booking, including referral or authorisation rules, provider eligibility, benefit limits, excesses and payment arrangements. Do not assume that a policy covers every session or condition. If affordability is a concern, public services, workplace support, charities and local advice services may also be relevant to explore. Safety and choosing a next step Neither route is a substitute for urgent help. If you are unable to keep yourself safe, have thoughts of harming yourself, experience psychosis, a sudden marked change in mental state or acute physical symptoms, use the appropriate urgent medical or crisis route. For related information, see https://lyceumclinic.co.uk/therapy/anxiety/, https://lyceumclinic.co.uk/therapy/low-mood/, https://lyceumclinic.co.uk/guides/private-therapy-no-gp-referral/ and https://lyceumclinic.co.uk/guides/depression-therapy-waiting-times-west-london/. Frequently asked questions Can a guide tell me which route is right? No. It can describe general considerations, but your needs, safety, access and preferences require an individual conversation. Can I move between public and private support? This may be possible in some circumstances, but pathways, records and funding arrangements vary. Confirm current arrangements with the relevant providers. Choosing between routes depends on your needs, local options, continuity preferences, current availability and personal circumstances. If you would like an evidence-informed discussion about appropriate next steps, contact The Lyceum Clinic to enquire about suitability and current appointment availability.

Questions to compare before deciding

QuestionPublic routePrivate CBT at The Lyceum
FundingMay be publicly funded, subject to the local route.£110 online or £140 face-to-face; an individual insurance or cash-plan benefit may contribute.
AccessLocal arrangements and timing vary.Current appointment availability should be confirmed directly.
Continuity and formatDepends on the local pathway and assessment.Format and continuity can be discussed individually before a fuller assessment.

Frequently asked questions

How do I check public talking-therapy routes in West London?

Check the current contact details for the public talking-therapy service in your area or ask your GP practice for guidance. Referral routes and eligibility can vary locally.

How long might public talking therapy take in West London?

Timing can vary with local capacity, clinical need and the pathway offered. Published data can provide context, but it cannot predict an individual assessment or treatment timeline.

How much does private CBT cost in West London?

At The Lyceum, 50-minute CBT sessions are £110 online and £140 face-to-face. The pace, review points and any total cost depend on individual assessment and current arrangements.

Can insurance or a cash plan contribute to private therapy?

An insurance or workplace cash-plan policy may contribute to CBT costs. Check your individual policy terms directly with the provider before booking.

Does private therapy guarantee faster access or better outcomes?

No. Appointment availability, suitability and outcomes vary. A guide or provider cannot promise a particular timeline, clinical fit or result.

When should I seek urgent support instead?

If there is immediate danger, thoughts of self-harm, an inability to stay safe or a sudden marked deterioration, call 999, attend A&E or use urgent local crisis or medical support.

Related pages

  • CBT therapy services
  • CBT for anxiety
  • CBT and ERP for OCD
  • Clinical guides
  • Clinical blog
  • How CBT works
  • Book a free consultation
  • Mental Health and Weight: An Educational Guide
  • What Does Neurodivergent Burnout Actually Feel Like?
  • CBT Tools for OCD You Can Start Using Today
  • The Comprehensive Guide to OCD: Everything You Need to Know

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Written by Sanah Younis, BABCP-accredited CBT Therapist at The Lyceum Clinic.

Last clinically reviewed: 14 August 2026

Clinical information on this page is general and does not replace personalised assessment. If you are in immediate danger, call 999 or attend A&E.

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