When life feels overwhelming, many people consider turning to therapy or other forms of mental health support. But making that first step isn’t always easy. In fact, research shows that while more people than ever are reaching out, many still find it difficult to access the help they need.

In 2023–24, nearly 3.8 million people in England were in contact with NHS mental health services. That’s an increase of over a million people compared to just a few years before. And yet, even with this rise, many still face long waits or struggle to find the right kind of support for them. Some people in crisis have had to wait days in A&E for a mental health bed. It’s clear that the need is great, but resources are stretched.

At the same time, surveys show that more people are open to the idea of therapy. The British Association for Counselling and Psychotherapy found that around 35% of UK adults have seen a counsellor or psychotherapist at some point, and most of them found it helpful. Many others begin by looking for support online, or by speaking to their GP. Younger people in particular often say they would like help, but feel held back by worries about stigma, cost, or simply not knowing where to turn.

For me, this research highlights something I often see in my own practice: the courage it takes just to reach out. Whether someone arrives with a clear idea of what they want to work on, or simply a feeling that things aren’t right, therapy can offer a space that is rare in everyday life — a place to be listened to without judgment, and to explore what support looks like for you.

I also think it’s important to say that therapy doesn’t have to be the right step for everyone, or the right step right now. Sometimes other forms of support — talking with friends, community groups, self-care, or simply giving yourself time — may feel more accessible. If and when therapy does feel right, it will always be there as an option.