Lesley Nance, NCPS

Therapeutic approaches and online delivery

Client-centred therapy puts the person’s own experience at the heart of sessions. The therapist listens closely, reflects what she hears, and helps clients find their own solutions; this works well for stress, low self-esteem and relationship concerns.

Eye Movement Desensitization and Reprocessing, or EMDR, is a method used for reducing the intensity of distress linked to traumatic memories. It can be useful when people feel stuck by past events and want to reduce strong emotional reactions to reminders.

Hypnotherapy involves guided relaxation and focused attention to help change unhelpful patterns of thought or behaviour. It is often used alongside other techniques to support things like anxiety, confidence and breaking cycles of rumination.

Finding the right approach is part of the work. The therapist will explore goals, preferences and what has or hasn’t helped before, then suggest methods to try. This is a collaborative process and adjustments are made as progress unfolds.

Online therapy offers flexible options such as video calls, phone sessions, live chat and text-based messaging. Video sessions recreate face-to-face conversations, phone sessions may suit shorter check-ins or lower bandwidth, and messaging can support ongoing reflection or brief check-ins between sessions. These formats help people fit therapy around work, caregiving and other commitments while maintaining continuity of care.