Rachael Bentovim-Gill, NCPS

Therapeutic approaches for online working

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and then take small values-based steps toward what matters. It is useful for anxiety, depression and issues where avoidance has become a habit. Cognitive Behavioural Therapy (CBT) focuses on spotting unhelpful thinking patterns and testing new behaviours to reduce symptoms and improve day-to-day functioning. It often helps with anxiety, low mood, sleep and stress. Attachment-Based Therapy looks at how early relationship patterns shape current connections and communication, and it can be helpful for intimacy, attachment issues and communication problems.

Finding the right approach is part of the work. The therapist will discuss goals, preferences and what feels most useful, and then adapt methods in a collaborative way. That means techniques may change as the work progresses to suit the individual's needs and outcomes.

Online sessions are offered by video call, phone, live chat or text-based messaging to maximise flexibility. Video calls are close to face-to-face contact and allow shared visual cues. Phone sessions can be easier when lower bandwidth is needed or when someone prefers not to be on camera. Live chat and messaging suit short check-ins, written reflections and people who prefer typed communication. These options make it easier to fit therapy around work, family or mobility needs while still working with an experienced therapist or registered professional.