Paula Otley

Approaches you can use in online sessions

Attachment-based work looks at how early relationships shape how people feel and respond now. It helps when past hurts or attachment patterns affect current stress, intimacy or grief. Client-centred therapy focuses on being listened to without judgement so people can find their own solutions; it suits those who want a steady, respectful space to talk. Cognitive behavioural therapy (CBT) breaks down unhelpful thoughts and behaviours into manageable steps and is useful for anxiety, low mood and sleep or eating concerns.

Finding the right approach is part of the process. The therapist will work together with the client to choose methods that match needs, goals and preferences. That might mean starting with a listening, person-centred approach and adding CBT tasks or attachment-focused reflection when useful.

Online therapy with Paula uses video calls, phone sessions, live chat or text-based messaging to make counselling easier to fit into life. Video lets the therapist and client see non-verbal cues, phone calls need less bandwidth and can work well on busy days, and messaging or live chat can suit quick check-ins or people who prefer typing. These options offer flexibility for different schedules, quieter surroundings and practical ways to keep therapy consistent when life is busy.