How to Become a Clinical or Counselling Psychologist
6th January 2021
Qualified psychologists working in the NHS earn between £49,387 and £108,814 a year, depending on specialism and seniority. Those figures reflect the 2026/27 Agenda for Change pay bands. Psychologists in private practice can earn considerably more. This guide breaks down what each type of psychology and psychiatry professional earns in the UK, across both the NHS and private sector.
If you are considering seeing a psychologist or psychiatrist privately, it helps to understand what shapes the cost. And if you are considering psychology as a career, this page gives you a realistic picture of what to expect at each stage.
Most people drawn to psychology are not primarily motivated by earnings. The training is long, the work is emotionally demanding, and the NHS pay structure reflects public sector constraints rather than the complexity of what psychologists actually do. That said, the profession does offer a solid income, and the private sector opens up considerably more earning potential for those who want it.
Psychologist and Psychiatrist Salaries at a Glance
The table below summarises the salary range for each major psychology and psychiatry specialism in the UK, covering both NHS and private practice.
|
Role |
NHS Band |
NHS Salary (2026/27) |
Private Practice |
Training |
|
Clinical Psychologist |
7 to 8d |
£49,387 – £108,814 |
£120 – £200/session |
9–12 years |
|
Counselling Psychologist |
7 to 8a |
£49,387 – £64,750 |
£80 – £150/session |
8–10 years |
|
Forensic Psychologist |
7 to 8c |
£49,387 – £91,609 |
Variable |
9–11 years |
|
Educational Psychologist |
7 to 8c |
£49,387 – £91,609 |
£90 – £175/hour |
9–10 years |
|
Occupational Psychologist |
Variable |
£35,000 – £70,000+ |
Variable |
7–9 years |
|
Sport Psychologist |
N/A |
£20,000 – £60,000 |
Up to £1,000/day |
7–9 years |
|
Child Psychologist |
7 to 8a |
£49,387 – £64,750 |
£120 – £200/session |
9–12 years |
|
Psychiatrist (Consultant) |
Medical scale |
£109,725 – £145,478 |
Significantly higher |
13+ years |
Psychiatrists earn the most, but they train as medical doctors, not psychologists. Their pay sits on the medical consultant scale, which is separate from the Agenda for Change framework that covers all other psychology roles.
How Much Does a Clinical Psychologist Earn in the NHS?
A newly qualified clinical psychologist starts on NHS Band 7, earning £49,387 a year. With experience and seniority, clinical psychologists can progress through to Band 8d, where salaries reach £108,814.
Clinical psychologists in the NHS are employed under the Agenda for Change (AfC) framework. Trainees on the three-year Doctorate in Clinical Psychology (DClinPsy) are paid at Band 6 throughout their training. Competition for training places is intense. Recent Clearing House data suggests around 5,000 to 6,000 applicants typically compete for roughly 700 places each year.
|
Band |
Level |
Salary (2026/27) |
Typical Timeline |
|
Band 6 |
Trainee (DClinPsy) |
£39,959 – £48,117 |
3 years |
|
Band 7 |
Newly qualified |
£49,387 – £56,515 |
2–4 years post-qualification |
|
Band 8a |
Senior/specialist |
£57,528 – £64,750 |
5–10 years post-qualification |
|
Band 8b |
Principal/lead |
£66,582 – £77,368 |
10+ years |
|
Band 8c |
Consultant psychologist |
£79,504 – £91,609 |
15+ years |
|
Band 8d |
Head of psychology service |
£94,356 – £108,814 |
Senior leadership |
London weighting adds up to £8,746 for inner London, £6,137 for outer London, and £2,270 for fringe areas. These supplements apply to all AfC bands. For more about what clinical psychologists do and what conditions they work with, see our issues page.
How Does a Psychiatrist’s Salary Compare to a Psychologist’s?
Psychiatrists earn significantly more than psychologists. A consultant psychiatrist starts on £109,725, compared to £49,387 for a newly qualified clinical psychologist. The gap exists because psychiatrists train as medical doctors. They complete a medical degree, foundation training, and then six years of specialist psychiatric training before reaching consultant level.
|
|
Psychiatrist |
Clinical Psychologist |
|
Training route |
Medical degree + specialist psychiatric training |
Psychology degree + doctoral clinical training |
|
Total training length |
13+ years |
9–12 years |
|
NHS starting salary (qualified) |
£109,725 |
£49,387 |
|
NHS top salary |
£145,478+ (with Clinical Excellence Awards) |
£108,814 |
|
Can prescribe medication? |
Yes |
No |
|
Can diagnose? |
Yes |
Yes (within scope of practice) |
According to Nuffield Trust estimates, full-time NHS consultants across all specialties have average total earnings of around £161,600 when additional pay elements such as on-call, additional sessions, and supplements are included. Psychiatrist-specific figures will vary. Our psychiatrists at The Private Therapy Clinic work across a range of conditions, including ADHD, depression, anxiety, and bipolar disorder.
What Do Counselling Psychologists Earn?
Counselling psychologists in the NHS are paid on the same AfC bands as clinical psychologists. A newly qualified counselling psychologist starts on Band 7, earning £49,387 to £56,515. Most counselling psychologists progress to Band 8a (£57,528 to £64,750), with fewer reaching the higher bands compared to clinical psychologists.
The training route is different. Counselling psychologists typically complete a BPS-accredited doctorate in counselling psychology, which has a stronger emphasis on therapeutic practice and the therapeutic relationship. The training takes 8 to 10 years in total.
In private practice, counselling psychologists typically charge £80 to £150 per session, slightly lower than clinical psychologists on average. For more on the types of therapy we offer, see our counselling page.
What Does a Forensic Psychologist Earn?
Forensic psychologists work primarily in two settings: the NHS (in secure hospitals and forensic services) and HM Prison and Probation Service (HMPPS). Pay structures differ between the two. The HMPPS figures below are based on the most recently published civil service pay bands and may shift with annual reviews.
|
Employer |
Trainee |
Qualified |
Senior/Consultant |
|
NHS |
£39,959 – £48,117 (Band 6) |
£49,387 – £56,515 (Band 7) |
Up to £91,609 (Band 8c) |
|
HMPPS |
£33,104 (Band 5) |
£47,907 (Band 7) |
£59,623 – £74,243 (Bands 9–11) |
In the UK, “criminal psychologist” and “forensic psychologist” refer to essentially the same profession. Forensic psychologist is the protected title regulated by the Health and Care Professions Council (HCPC). The work involves risk assessment, offender rehabilitation, and expert witness testimony. Experienced forensic psychologists in private consultancy can earn considerably more, particularly through medico-legal report writing.
How Much Does a Child Psychologist Earn?
“Child psychologist” is not a separate NHS pay band. Child clinical psychologists are paid on the same AfC scales as adult clinical psychologists, starting on Band 7 at £49,387. The specialism is in who they work with, not how they are paid. Child psychologists working in private practice charge similar session rates to their adult-focused colleagues, typically £120 to £200 per session. Child and adolescent work often involves longer assessment processes, particularly for conditions like autism and ADHD, which can affect the overall cost of private services.
What Do Educational, Occupational and Sport Psychologists Earn?
Educational Psychologist
Educational psychologists are employed by local authorities on separate pay scales, not the standard AfC bands. Pay varies by region and employer, but qualified educational psychologists generally earn in the region of £45,000 to £60,000 in most areas, rising to £65,000 to £80,000 for principal and senior roles. Some London local authorities pay above £90,000 for experienced practitioners. Independent educational psychologists typically charge £90 to £175 per hour for statutory Education, Health and Care (EHC) needs assessments.
Occupational Psychologist
Most occupational psychologists work in the private sector rather than the NHS. Salaries range from around £35,000 at entry level to £70,000 or more with experience. Senior occupational psychologists in consultancy can earn well beyond this, though earnings vary considerably depending on the employer, sector, and whether the work is salaried or contract-based. The Civil Service is one of the largest single employers.
Sport Psychologist
Sport psychology is one of the more variable specialisms in terms of pay, and published salary data should be treated as approximate market ranges rather than firm bands. Starting salaries range from around £20,000 to £23,000. Experienced sport psychologists working with professional teams can earn £50,000 to £60,000 in salaried roles. Elite consultants working with top-level athletes can charge up to £1,000 per day, but this kind of work is competitive and intermittent. Many sport psychologists combine consultancy with university lecturing.
How Much Do Private Practice Psychologists Earn?
Private practice is where the earning potential increases most noticeably. Clinical psychologists in private practice typically charge £120 to £200 per session, with London rates running 20 to 30 per cent higher. Counselling psychologists usually charge £80 to £150 per session.
To put that in context: a clinical psychologist seeing 20 clients a week at £140 per session, across 46 working weeks, would generate approximately £128,800 in gross fees. After overheads of around 30 per cent (room hire, insurance, supervision, CPD, marketing), the gross profit sits at roughly £90,000. That is before income tax and National Insurance as a self-employed practitioner.
That figure exceeds what most Band 8a and 8b psychologists take home in the NHS. But private practice comes without employer pension contributions, sick pay, paid annual leave, or a guaranteed caseload. Those are real financial considerations.
Medico-legal work is another significant income stream for experienced psychologists. Expert witness reports and court appearances can command £150 to £250 per hour, and neuropsychological assessment reports range from £1,500 to £4,000 per assessment.
What Affects a Psychologist’s Salary?
Several factors shape what a psychologist earns:
Specialism matters. Clinical psychologists and forensic psychologists tend to reach higher NHS bands than counselling psychologists. Educational psychologists sit on local authority pay scales that are competitive with mid-range AfC bands.
Geography makes a difference. London weighting can add up to £8,746 to an NHS salary. Private practice rates in London are also significantly higher than elsewhere in the country.
NHS versus private is the single biggest variable. A psychologist on Band 8a earns up to £64,750. A private practice psychologist with a full caseload can earn more than that, though they carry more financial risk.
Additional income streams like clinical supervision, training delivery, consultancy work, and expert witness testimony can substantially increase a psychologist’s total earnings, particularly later in their career.
Frequently Asked Questions
How much do psychologists make in the UK?
Qualified psychologists in the NHS earn between £49,387 and £108,814 depending on band and specialism, based on the 2026/27 Agenda for Change pay scales. Private practice psychologists can earn more, with clinical psychologists charging £120 to £200 per session.
How much do clinical psychologists make in the UK?
Clinical psychologists start on NHS Band 7 at £49,387 and can progress to Band 8d at £108,814. Trainees on the DClinPsy are paid at Band 6, starting at £39,959. In private practice, clinical psychologists typically charge £120 to £200 per session.
How much do child psychologists make?
Child psychologists are paid on the same NHS bands as adult clinical psychologists, starting at £49,387 (Band 7). In private practice, child psychologists charge £120 to £200 per session. Assessment work for conditions like autism and ADHD may involve longer processes with higher overall fees.
How much do forensic psychologists make in the UK?
Forensic psychologists in the NHS earn £49,387 to £91,609 (Bands 7 to 8c). Those working for HMPPS start at £33,104 as trainees and reach £47,907 once qualified. Senior roles in HMPPS can reach £74,243.
How much do sports psychologists make?
Sport psychologists typically start on £20,000 to £23,000. Experienced practitioners earn £50,000 to £60,000 in salaried roles. Elite consultants working with professional athletes can charge up to £1,000 per day.
How much do psychiatrists make in the UK?
NHS consultant psychiatrists earn a basic salary of £109,725 to £145,478. Nuffield Trust estimates that full-time NHS consultants across all specialties earn around £161,600 on average when additional pay elements are included. Private psychiatrists can earn substantially more.
Which pays more, a psychologist or a psychiatrist?
Psychiatrists earn significantly more. A consultant psychiatrist starts on £109,725 compared to £49,387 for a newly qualified clinical psychologist. This reflects the longer medical training route and the ability to prescribe medication.
What is the highest paid psychology job in the UK?
The highest-paid NHS psychology role is Band 8d (Head of Psychology Service), which pays up to £108,814. In private practice, clinical psychologists and neuropsychologists doing medico-legal work can earn well in excess of £100,000 per year.
Is a psychiatrist a well paid job?
Yes. Psychiatry is one of the highest-paid medical specialties. Consultant psychiatrists earn £109,725 to £145,478 basic salary in the NHS, with estimated average total earnings of around £161,600 across all consultant specialties according to Nuffield Trust.
How much do private psychologists charge per session?
Clinical psychologists in private practice typically charge £120 to £200 per session. Counselling psychologists usually charge £80 to £150. Rates in London tend to be 20 to 30 per cent higher than elsewhere.
Getting the Right Support at The Private Therapy Clinic
At The Private Therapy Clinic, we work with clinical psychologists, counselling psychologists, and psychiatrists across a wide range of conditions. Whether you are looking for an initial assessment, ongoing therapy, or a specialist ADHD assessment or autism assessment, our team can help you find the right path forward. We offer a free 15-minute consultation to talk through your options.





