Antonella Mezzasalma, BACP

Acceptance and Commitment Therapy, or ACT, focuses on helping people clarify what matters to them and take small steps toward those values while learning to notice difficult thoughts and feelings. It can be useful for anxiety, low mood and life direction. Cognitive Behavioural Therapy, known as CBT, targets unhelpful thinking and behaviour patterns with practical exercises and experiments that can be done between sessions. It often helps with anxiety, depression and stress. Dialectical Behaviour Therapy skills teach emotion regulation, distress tolerance and clearer communication, which can be helpful when strong feelings or interpersonal issues get in the way of daily life.

Choosing the right approach is part of the work. The therapist will talk through goals, preferences and what feels useful, then adapt methods collaboratively. That way the plan reflects the client's needs rather than a fixed template.

Online therapy offers several practical benefits. Video calls let people see facial cues and use screen-shared worksheets, phone sessions need less bandwidth and can fit a short break, and live chat or text-based messaging suits quick check-ins or ongoing support between sessions. These options make therapy more flexible and easier to fit around work, family and daily routines while still using the same therapeutic methods.