The Clients Who Never Book

A free online CPD course for counsellors, psychotherapists, hypnotherapists and other therapists who want to understand the people who look for therapy and then decide it isn’t for them, and what it could mean for their practice. The course is self-paced, provides 1 CPD hour and is written by Karen Ferguson, a therapist of 26 years and founder of MindMotive AI.


Around three quarters of UK adults have never had an experience of therapy they’d describe as helpful, and most have never had therapy at all. Many of them look for a therapist, read a profile or even make an enquiry, and then decide therapy isn’t for them. For most therapists, that’s where the conversation ends.

This course looks at who those people are, why many of them have made a considered choice rather than hit a barrier, and what they do instead, including the growing number turning to AI. It makes the case for offering something other than therapy, and sets out how to do that honestly.

By the end of the course, you’ll be able to:

  • recognise the difference between barriers to therapy and genuine preferences
  • describe what people commonly do instead of booking therapy, including using AI
  • weigh up whether offering an alternative to therapy fits your practice
  • describe an alternative honestly, without overstating what it is
  • consider practical ways to keep supporting people who don’t book

Karen Ferguson has been a therapist for 26 years and has trained more than 1,000 therapists. She is the founder of MindMotive AI, where she designs conversational AI partners, including Otto, and she has spent more than three years designing, using and testing AI for emotional support. She is a Fellow of the ACCPH.