Joanne Ramshaw, BACP, NCPS

Therapy approaches you can use online

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting trapped by them. It focuses on what matters most and on taking small values-based steps, which can help with anxiety, low mood and life changes. Cognitive Behavioural Therapy, or CBT, helps identify unhelpful thinking patterns and tries out different behaviours to reduce distress; it is often used for stress, anxiety and depression. Attachment-Based Therapy looks at how early relationship patterns affect current connections and can help when people want clearer, safer ways of relating to others.

Choosing the right approach is a joint process. The therapist will listen to your goals and preferences, discuss options and recommend methods that match what you want to change. Over the first few sessions the plan can be adjusted so the work fits you and your situation.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation when a longer, in-depth session is helpful. Phone sessions or short live chat exchanges can fit into a busy day or be easier when bandwidth is limited. Text-based messaging is useful for regular check-ins, homework or when someone prefers written reflection. These options make it simpler to keep therapy consistent while fitting around work, family and other commitments.