Lorelle Busby

Approaches you can use online

Acceptance and Commitment Therapy, or ACT, focuses on helping people clarify what matters to them and take small, value-based actions even when feelings are difficult. It is useful for anxiety, low mood and coping with life changes. Cognitive Behavioural Therapy, CBT, concentrates on spotting unhelpful thoughts and testing them with practical experiments to reduce anxiety and depressive patterns. Attachment-Based Therapy looks at how early and current relationships affect emotions and behaviour and can help with intimacy and family-related difficulties.

Finding the right approach is part of the work. The therapist will talk with each person about their goals, past efforts and personal preferences, and then suggest a way forward. Decisions about methods are made collaboratively and can change as progress is made.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video is useful for more conversational sessions and reading non-verbal cues. Phone calls can work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging suit shorter check-ins, quick coping strategies and people who prefer writing. These options make it easier to fit therapy around work, family and other commitments while keeping the focus on practical steps and emotional understanding.