Angela Garlick

Approaches that shape online therapy

Acceptance and Commitment Therapy (ACT) combines gentle acceptance of difficult feelings with practical actions linked to what matters most. It helps with anxiety, low mood and coping with life changes by encouraging values-led steps rather than getting stuck trying to avoid feelings. Cognitive Behavioural Therapy (CBT) focuses on the link between thoughts, feelings and behaviour. It is useful for addressing unhelpful thought patterns, sleep problems, anxiety and anger through simple techniques and homework tasks. Client-Centred Therapy prioritises the therapeutic relationship and listening. That approach helps people feel heard and understood so they can explore issues like grief, relationships and self-esteem at their own pace.

Choosing the right approach is part of the work. The therapist will discuss goals, preferences and how different methods might help. Together they will try approaches, review what helps and adjust the plan to fit the person’s needs, making the process collaborative and flexible.

Online sessions are offered as video calls, phone sessions, live chat or text-based messaging to suit different situations. Video allows face-to-face conversation, phone can be easier when bandwidth is limited, and messaging works well for short check-ins or when writing feels better. These options make it easier to fit therapy around work, caregiving or travel and allow continuity of care when in-person visits aren’t possible.