Marcia Reid

How therapeutic approaches work online

Attachment-based work focuses on how early relationships shape current patterns. In online sessions this means talking through past connection styles and practising new ways of relating that reduce anxiety and improve trust. Cognitive behavioural therapy, or CBT, looks at thoughts, feelings and behaviours and teaches practical exercises to change unhelpful patterns; it can be used for anxiety, depression, sleep problems and stress. Client-centred therapy puts the person's experience at the heart of sessions, with the counsellor following the client's pace and priorities to build insight and self-direction. Finding the right approach is part of the work together. Marcia will discuss what fits your needs and goals and then try practical steps alongside conversational reflection. That collaborative process helps shape a plan that can change if a different method seems more helpful as therapy progresses. Online formats make it easier to keep therapy consistent. Video calls let you use visual cues and carry out interactive exercises. Phone sessions are a good option when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging suit people who prefer to write, want regular brief support, or need more flexible timing. These options aim to make counselling more accessible while keeping the focus on steady progress.