Nicola Hill, BACP

Approaches that guide online sessions

Acceptance and Commitment Therapy helps people notice painful thoughts without being driven by them, and to choose actions that match their values. This approach is useful for anxiety, low mood and coping with life changes. Attachment-Based Therapy looks at how early relationship patterns affect current connections; it helps when someone wants to understand repeated relationship dynamics or fatherhood issues. Client-Centred Therapy centres the person's experience and pace, offering empathic listening so people feel understood before practical tools are introduced.

Choosing the right approach is a shared process. The therapist will talk through goals, preferences and what has or hasn't worked before. Together they decide which methods to try and adjust them as work progresses, so the plan stays practical and relevant to each person.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video is best for a fuller face-to-face feel, phone can be easier when less bandwidth is available, live chat suits short check-ins, and messaging lets people reflect and reply in their own time. These options make it easier to fit therapy around work, childcare and busy lives while keeping the therapeutic focus.