Jane Millington-Jones, BACP

Approaches that translate well to online therapy

Client-centred therapy focuses on listening and responding to what matters most to the person. In sessions the counsellor reflects back concerns and helps someone set their own goals, which suits conversation-based video or phone meetings.

Cognitive behavioural therapy, or CBT, works on spotting unhelpful thoughts and trying new behaviours. It often uses short practical exercises and homework tasks, which fit well with check-ins by text or live chat alongside video work.

Emotionally-Focused Therapy helps people understand and change patterns in relationships by identifying emotions and interaction cycles. Video sessions allow the therapist and client to work on these patterns together and try different ways of communicating.

Finding the right approach is part of the early work. The therapist will discuss options, try techniques and agree what feels most helpful. That decision is collaborative and can change as therapy progresses.

Online formats offer flexibility. Video calls suit deeper conversations and visual connection. Phone sessions can be easier when someone cannot be on camera. Live chat and text-based messaging work well for short check-ins, practising skills between sessions or when a quick message is needed. These options make it easier to fit therapy around work, family and travel commitments, while keeping the focus on practical progress.