Brenda Clarke-Wills BSc (Hons) Psyche Open MBACP, BACP

Attachment-based work looks at the patterns people form in relationships and helps them understand why they react the way they do. This approach can be useful for people who want to change recurring relationship themes or feel more supported in connections. Cognitive behavioural therapy, or CBT, focuses on identifying unhelpful thoughts and behaviours and trying practical exercises to shift them; it is often chosen for anxiety, low mood and stress because it gives clear tools to practise between sessions. Dialectical behaviour therapy, or DBT, offers skills for managing intense emotions and improving self-regulation, which can help when feelings feel overwhelming.

Finding the right approach is part of the work together. The therapist will talk with the person about goals, preferences and what feels most helpful, then suggest ways to combine methods. The plan can change as progress is made and new needs arise, so the client helps decide what to try next.

Online therapy makes these approaches accessible through video calls, phone sessions, live chat or text-based messaging. Video sessions allow face-to-face conversation and visual cues, phone calls work well when bandwidth is limited, live chat and messaging suit shorter check-ins or when typing feels easier. These options offer flexibility for people fitting therapy around work, caregiving or other commitments, and let therapists use the same practical exercises and skills work remotely.