Massimiliano Cattafi, BACP

Therapeutic approaches and online care

Massimiliano uses evidence-based therapeutic techniques that focus on understanding patterns and improving daily coping. One approach helps people map their emotional and relational patterns to see how past experiences influence current choices; this can be useful for attachment, abandonment and relationship concerns. Another approach focuses on breaking down distress into manageable parts so clients can try small changes and notice what helps; this is often helpful for depression, low self-esteem and coping with life changes.

Finding the right approach is part of the work together. The therapist will collaborate with each person to decide which techniques fit their needs, goals and preferences. That might mean trying an approach for a few sessions and adapting it if something else would suit better.

Online therapy options include video calls, phone sessions, live chat and text-based messaging. Video sessions let people use visual cues and a fuller conversation, while phone sessions need less bandwidth and can fit into a short break. Live chat and messaging allow shorter check-ins or ongoing written reflection between longer conversations. These formats make it easier to fit therapy around work, family and other commitments.