Sadie Paulucy

Approaches that translate well to online therapy

Acceptance and Commitment Therapy (ACT) focuses on helping people notice what matters to them and take small actions in that direction while learning to sit with difficult thoughts and feelings. It can be useful for anxiety, low mood and life transitions. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and teaches practical techniques to change unhelpful patterns; it often helps with anxiety, depression and sleeping or eating difficulties. Attachment-Based Therapy pays attention to how early relationships shape current ways of relating and can be helpful for intimacy, abandonment and relationship concerns. Finding the right approach is part of the work. The therapist will talk with the client about goals, past experiences and what feels most useful. Together they will try techniques, review what helps, and adjust the focus so therapy fits the person's needs and preferences. Online sessions can make therapy easier to fit into a busy life. Video calls allow face-to-face conversation across distance, phone sessions work when lower bandwidth or no camera is needed, and text-based messaging or live chat can support shorter check-ins or ongoing reflection between sessions. These options offer flexibility for different routines, quieter surroundings and practical constraints, while still allowing focused therapeutic work with registered or accredited professionals.