Melisha Pillay

Therapeutic approaches suited to online work

Melisha uses Acceptance and Commitment Therapy to help people clarify what matters to them and take small meaningful steps toward those values. ACT often helps with anxiety, low mood and problems that come from getting stuck in unhelpful thoughts.

She also draws on Cognitive Behavioural Therapy to identify thought patterns and behaviours that keep problems going, and then practise different ways of responding. CBT is useful for anxiety, depression, sleep and some eating concerns. Attachment-Based Therapy is another strand she uses to look at how early relationships shape current feelings and patterns, which can be helpful for intimacy and relationship struggles.

Finding the right approach is part of the work. Melisha collaborates with each person to choose methods that fit their goals, beliefs and daily life. She adjusts techniques over time based on how things are progressing and what feels useful.

Online formats support this flexible way of working. Video calls allow face-to-face conversation and visual cues, phone sessions use less bandwidth and can be easier when movement is needed, while live chat or text-based messaging suit short check-ins or people who prefer typing. These options make therapy more accessible and let people fit sessions around work, caregiving and travel.