Siamak Ehteshamzadeh, HCPC

Approaches that translate well to online therapy

Siamak commonly uses Acceptance and Commitment Therapy and Cognitive Behavioural Therapy. Acceptance and Commitment Therapy helps people notice difficult thoughts and focus on values-based action rather than getting trapped by worry, which can be useful for stress and anxiety. Cognitive Behavioural Therapy looks at the links between thoughts, feelings and behaviours and teaches practical tools to change patterns that maintain depression or anxiety.

He also uses Eye Movement Desensitization and Reprocessing for trauma-related work when appropriate. EMDR aims to reduce the intensity of traumatic memories by using structured processing techniques under a therapist's guidance, which some people find helpful for post-traumatic stress symptoms.

Finding the right approach is part of the process. The therapist will work together with each person to decide which methods fit their needs, goals and preferences, and will adjust plans as progress is made.

Online sessions are offered by video call, phone, live chat or text messaging to make therapy more flexible. Video is useful for fuller conversation and visual cues, phone works well for lower bandwidth or a shorter check-in, and messaging can suit people who prefer writing or need brief, frequent support. These options help people fit therapy around work, family or other commitments while keeping the focus on practical progress.