Lillie Carter, BACP

Evidence-based approaches and online delivery

Many of the techniques used are evidence-based and focus on helping people change unhelpful patterns and learn coping skills. One common approach is structured problem-solving - breaking issues into manageable parts, testing small changes and building practical steps that reduce stress and improve day-to-day functioning. This is useful for anxiety, overwhelm and adjusting to life changes.

Another helpful approach is gentle exploration of attachment and relationship patterns. This involves looking at how early experiences shape current reactions, improving communication and trying new ways of relating when old habits cause pain. It can help with relationship difficulties, feelings of abandonment and isolation.

Deciding which approach to use is a collaborative process. The therapist will work with the person to choose methods that match their goals, needs and preferences, and may combine short-term skills with deeper exploration over time.

Online sessions are offered by video call, phone, live chat or text-based messaging to give practical flexibility. Video calls let people work face to face when they prefer conversation and visual cues. Phone sessions are a good option when bandwidth is limited or a quieter check-in is needed. Chat and messaging suit shorter check-ins or when someone wants to write rather than speak. These options make it easier to fit therapy into work, caregiving and everyday routines.