Carlie Machell-Kay, NCPS

How her approaches work online

Client-Centred Therapy focuses on creating a respectful space where the person leads the conversation and feels understood; it helps with building confidence and making choices about change. Narrative Therapy looks at the stories people tell about themselves and helps separate the person from the problem, which can be useful for issues like shame, identity and relationship patterns. Psychodynamic Therapy explores how past relationships and early experiences shape current behaviour and emotions, which often helps when patterns repeat or when deeper understanding is needed.

Finding the right approach is part of the therapeutic process. Carlie will work with each person to identify which methods feel most helpful and will adapt them as goals and needs evolve. The collaboration means the plan can change if something isn’t working or if priorities shift.

Online therapy offers practical flexibility. Video calls let people see non-verbal cues and build rapport, while phone sessions need less bandwidth and can fit into a work break. Live chat and text-based messaging suit shorter check-ins, ongoing coaching or times when writing feels easier than speaking. These options make it simpler to schedule regular sessions and keep continuity of care across different locations.