Anxiety and depression can be long-term emotional consequences of dyspraxia, and can even create more barriers than dyspraxia itself; especially if dyspraxia isn’t recognised until later in life. Free or low-cost help for mental health is sadly quite scarce, and often designed to treat symptoms rather than causes. If a therapist lacks basic understanding of hidden disability or neurodiversity, too much time in therapy can often be spent trying to explain rather than being helped. The NHS in England offers free short-term therapy under a scheme known as Healthy Minds or IAPT, but waiting lists can be up to eighteen months for 6-12 sessions, and the quality of the service can vary greatly in different areas or at different times. You probably won’t qualify for long-term therapy on the NHS unless you have a severe mental health condition unrelated to dyspraxia, such as bipolar or schizophrenia; or a co-occurring condition such as OCD, post-traumatic stress or an eating disorder. However, finding the right support is possible. The best places to start are through your employer if you work for a large organisation, through your university or college if you’re a student, or through local services, such as Mind branches and small charities. Number 22 offers free, unlimited counselling in the Thames Valley and many regions will have something similar – it’s best to Google or, if you can, ask around, as they may limit their advertising to limit demand. Private therapists can cost anything from £40 to £400 an hour, and being more expensive doesn’t necessarily mean a therapist will be better for you. However, many private therapists offer some sessions for free or at reduced rates for those who wouldn’t otherwise be able to afford it; either directly or through charities or agencies they do pro bono work with. Some also offer online sessions via Skype or FaceTime. When choosing a therapist, always check they’re a member of a professional body such as BACP, The British Psychological Society or the Royal College of Psychiatrists. You may also like to start by asking what experience they have in working with disabled or neurodiverse clients. Groops in North London is a paid face-to-face and online counselling service specialising in the emotional effects of dyslexia and other neurodivergent conditions, including dyspraxia. They offer some concessions for those on low incomes. If you can’t find a dyspraxia specialist near you, a dyslexia, autism or ADHD specialist may be the next best thing as many of the emotional effects are similar. You can search for a qualified therapist at The Counselling Directory or through the BACP website, and also search by region, or specialism. If you’re offered counselling through an organisation and don’t find it helpful, it’s always worth asking for another counsellor. If you’re thinking of harming yourself, please read this, see this list of crisis services, or click “I need urgent help” at the top of that page.