Seaneen Madden, BACP

Approaches you can use online and how they help

Seaneen commonly uses client-centred therapy, cognitive behavioural therapy and dialectical behaviour therapy. Client-centred work focuses on listening and building a trusting conversation so the client’s priorities guide the sessions; this helps when people want acceptance and clarity about what matters to them. Cognitive behavioural therapy looks at how thoughts, emotions and behaviours interact and teaches practical experiments and skills to change unhelpful patterns; it often helps with anxiety, depression and stress. Dialectical behaviour therapy emphasises emotion regulation, distress tolerance and interpersonal effectiveness and is useful when strong emotions or repeated crisis patterns are present.

Finding the right approach is part of the work. The therapist will discuss goals, preferences and what has or hasn’t helped before, then try methods together. This collaborative process means the plan can change as the client learns what fits best.

Online sessions are offered by video call, phone, live chat or text-based messaging to increase flexibility. Video calls allow face-to-face conversation when that is helpful. Phone sessions can be a shorter check-in or better when bandwidth is limited. Live chat and text messaging suit brief updates, reflective writing between meetings or people who prefer not to use video. These options make it easier to fit therapy around work, family and everyday life.