For counsellors & therapists

MTD for Income Tax for counsellors & therapists.

Room hire or online sessions, sliding-scale fees, supervision and CPD, and a mix of private, EAP and insurer-funded work. Here's how Making Tax Digital for Income Tax affects counsellors and therapists, and when it starts.

When does it start for me?

In scope now over £50k, from April 2027 over £30k.

MTD for Income Tax phases in by gross income before expenses. Many private practitioners sit between £30,000 and £50,000, so the timing is worth pinning down.

Live now
£50,000
In scope from April 2026
Your likely date
£30,000
In scope from April 2027
£20,000
In scope from April 2028
Figures, not content

Your records stay confidential.

MTD only needs the financial side, the amounts and dates of income and expenses, never session content or client details. You can keep clean accounting records without recording anything confidential.

What records you need →
What's changing

Digital records, four quarterly updates, one final declaration.

When you're in scope, your annual Self Assessment return is replaced by four short quarterly updates and a year-end final declaration, all through recognised software.

What to keep digital

  • Private, EAP and insurer-funded income
  • Room hire, by the hour or session
  • Video-platform and online costs
  • Clinical supervision
  • CPD, training and membership
  • Professional indemnity insurance

Record the fee you actually charge each session, so sliding-scale work is simply captured at the amounts you charged.

  • Room and online Both deductible costs
  • Mixed funding Private, EAP and insurer
  • Supervision A deductible business cost
The practice detail

The bits specific to counselling and therapy.

Room hire and online

Hourly room hire and video-platform costs are both deductible. Record them so your margin is clear each quarter.

Mixed funding

Private clients, EAP referrals and insurer-funded work all sit in one set of records and one quarterly update.

Sliding-scale fees

Record the fee you actually charge each client. MTD works from your totals, so a mix of rates is no problem.

Supervision and indemnity

Clinical supervision and professional indemnity are deductible. Keep them recorded so nothing is missed at year-end.

Why Clear Books

Records that respect confidentiality.

You need clean accounts without recording anything about your clients. Clear Books keeps the financial side tidy and gives HMRC exactly what MTD needs.

  • Record private, EAP and insurer income
  • Claim room hire and online costs
  • Log supervision, CPD and indemnity
  • Keep only figures, never session detail
  • Send HMRC-compliant quarterly updates in minutes
  • Free plan available, no timer
The Clear Books MTD for Income Tax submissions screen showing four quarterly updates submitted to HMRC
Q1 update submitted
HMRC recognised
Common questions

Counsellor & therapist MTD FAQ.

When does MTD for Income Tax start for counsellors and therapists?
If your gross income is over £50,000 it applies now, from 6 April 2026. Between £30,000 and £50,000, your start date is April 2027, and from April 2028 it drops to £20,000.
Can I claim room hire and online costs?
Yes. Room hire and online costs, including your video-platform subscription, are deductible. Record them so your quarterly figures show what you keep.
How do sliding-scale fees work for records?
You record the fee you actually charge each client. MTD works from your totals, so a mix of full-fee and reduced-fee sessions is simply recorded at the amounts charged.
Is supervision and CPD deductible?
Yes. Clinical supervision, CPD and professional membership relevant to your practice are deductible business costs.
What about client confidentiality in my records?
MTD only needs the financial figures, the amounts and dates of income and expenses, not session content or client details. Your records stay confidential.
Free for self-employed therapists

Know where you stand before the deadline.

Record sessions and costs as you go, keep it confidential, and be ready to submit when your wave lands.