EAP counselling vs therapy
EAP counselling often uses a solution-focused brief therapy (SFBT) model, though some providers may vary their approach. It’s also common for some EAPs like ourselves to offer in-person CBT sessions (if required) or refer an individual to a self-guided online CBT programme.
Traditional therapy involves longer-term, in-depth treatment for chronic, historic or complex mental health conditions. It comes in many forms and may be required for individuals who need more specialist support. This can include EMDR, DBT among others.
Key differences
EAPs
• Often focus on short-term, solution-focused therapies that can fit between a short number of sessions
Therapy
• Many types of therapeutic practices exist. It’s generally used for individuals who require long-term interventions and/or complex care
Which option is right for your organisation?
Choosing the right employee support for your organisation depends on whether your priority is to supply:
• Immediate crisis intervention
• Counselling
• Long-term health insurance
• Daily habit building and wellbeing maintenance
An Employee Assistance Programme (EAP) is typically the best choice for most organisations because it is cost-effective and provides reactive, 24/7 support for a broad range of issues including mental health, legal advice, and financial concerns.
Be advised that EAPs are generally limited to short-term, solution-focused counselling (often 6-12 sessions) and may not be suitable for employees needing intensive or long-term therapeutic support. However, many EAPs are becoming more holistic in their approach and offer different kinds of therapies for specific cases where it is deemed clinically appropriate.
If your workforce requires deeper, clinical-grade mental health treatment, a PMI can be beneficial. PMIs provide medical cover for both physical and mental health, offering individuals access to specialist consultants and long-term treatment that EAPs cannot provide.
While significantly more expensive than an EAP, PMI is a powerful retention tool that signals a high level of investment in employee health, though it often involves "gatekeeping" where employees must first see a GP to unlock benefits. However, PMI rates are set to increase significantly, which will come at a large cost to UK organisations.
Occupational Health (OH) serves a distinct clinical and regulatory purpose. It is the right choice when you need expert advice on workplace adjustments, return-to-work plans after long-term sickness, or managing specific occupational hazards like ergonomic issues or chemical exposure.
OH is essentially a risk-management tool designed to ensure employees are "fit for work," making it more formal and less focused on general lifestyle and wellbeing than other options.
Lastly, a wellbeing app is best suited as a proactive, preventative layer that encourages daily healthy habits across the entire workforce. While they’re incredibly accessible with 24/7 access to sleep, mindfulness, and stress management tools, they lack access to traditional therapy, which can be problematic for individuals who specifically need that form of support.
While apps are excellent for "mild" concerns and preventative care, they are rarely equipped to handle serious mental health crises or complex clinical cases on their own.
For most organisations, the most effective strategy is a "blended" approach rather than choosing just one. This is why HA | Wisdom Wellbeing offers a holistic approach to EAPs by offering market-leading solutions to workforce wellbeing*:
24/7, 365 confidential helpline
Up to 12 sessions of online counselling
Exclusive access to the wellbeing app Wisdom
cCBT – SilverCloud (self-guided CBT online)
Occupational Health assessments, webinars and specialist services
SpeakUp: Harassment and whistleblowing support line
HR and Management support line
Financial wellbeing coaching
4 x Life and leadership coaching
Work health assessments for 25% of workforce
2 x Mental Health First Aid course per year
Active Care: Day 1 intervention for stress related absence
Virtual GP service - provided by Livi
Menopause Care (dedicated menopause support line and Rightsteps CBT)
Dedicated Occupational Health assessment & one specialist webinar
Based on Wisdom Super Care tier.