Kate Hough, NCPS

How therapeutic approaches translate to online work

Client-Centred Therapy focuses on listening and building a trusting relationship, giving people space to tell their story and find their own answers. It helps when someone needs a non-judgemental place to be heard and to make sense of feelings.

Cognitive Behavioural Therapy, or CBT, looks at how thoughts, feelings and behaviours connect and offers practical exercises to change patterns that keep someone stuck. It is useful for anxiety, low mood and stress and often includes homework between sessions.

Dialectical Behaviour Therapy, DBT, teaches skills for managing intense emotions and improving distress tolerance. These techniques can be helpful for people who feel overwhelmed by strong feelings and want clearer self-regulation tools.

Finding the right approach is part of the work. The therapist will talk through goals, preferences and what feels most helpful, and together they will choose or blend methods that suit the person. This is a collaborative process that can change as progress is made.

Online sessions are offered by video call, phone, live chat or text-based messaging so therapy can fit into different schedules. Video calls allow face-to-face conversation, phone sessions can be easier when bandwidth is limited, live chat and messaging suit shorter check-ins or people who prefer writing. These options make therapy more flexible and easier to maintain alongside day-to-day life.