Julia Garnham

Practical therapeutic approaches for online sessions

Julia commonly combines attachment-based work and cognitive behavioural therapy to help people find practical ways to feel steadier. Attachment-based work looks at how early and current relationships shape expectations and reactions, which can help with problems like anxiety, trust issues and repeated relationship patterns. Cognitive behavioural therapy, or CBT, helps people spot unhelpful thoughts and try small experiments to change feelings and behaviour. She also uses mindfulness techniques to build present-moment awareness and reduce overwhelm. Mindfulness involves short exercises in breathing and attention that can make strong feelings easier to handle and reduce reactivity in daily life. Together these approaches offer practical skills and insight, and the therapist will talk with each person to decide which fits best. Finding the right way of working is treated as a collaboration. The therapist will discuss goals, preferences and what has worked before. Plans are adjusted over time so the approach can change if a different method seems more helpful. Online formats include video calls, phone sessions, live chat and text-based messaging. Video sessions allow face-to-face conversation and exercises that use visual cues. Phone sessions can be useful when video is difficult or when someone prefers not to be on camera. Live chat and messaging suit shorter check-ins, ongoing written reflection or quieter days. These options aim to make therapy easier to fit into work, family life and different schedules.