Mark Nuttall, NCPS

Practical therapeutic approaches for online work

Mark uses evidence-based therapeutic techniques that focus on talking, reflection and self-understanding. One common approach uses dialogue to help people notice unhelpful patterns in thoughts and feelings, and then try small changes in how they relate to themselves and others. This is useful for anxiety, stress and relationship concerns.

Another strand emphasises exploring deeper personal themes over time, helping people work through grief, trauma or long-standing self-esteem issues. These sessions move at a pace that suits the client and encourage greater awareness of emotional patterns.

Finding the right approach is a collaborative process. The therapist will work with the client to identify goals, try different ways of working and adjust methods to fit preferences and needs. Together they decide whether short-term counselling or longer psychotherapy is more appropriate.

Online therapy here is offered through video calls, phone sessions, live chat and text-based messaging to give practical flexibility. Video calls suit fuller conversations and visual cues, phone sessions use less bandwidth and can fit into a busy day, while chat and messaging allow shorter check-ins or ongoing written work. These options make it easier to fit therapy into everyday life and keep progress moving between sessions.