Karen Ball, BACP

Client-centred work focuses on listening and understanding the person's experience. Online, this means sessions begin by exploring what matters most and building a therapeutic relationship at a comfortable pace. Cognitive behavioural therapy (CBT) looks at thoughts, feelings and behaviours to identify patterns that keep problems going. In remote sessions practical tools and short exercises are used to test changes between meetings and track progress. Mindfulness helps people notice and manage stress through simple attention practices and breath-based exercises that can be taught in a call or via text guidance.

Finding the right approach is a shared process. Karen will discuss options with each person and adapt methods to their needs, goals and preferences. That collaborative discussion helps shape whether more practical CBT work, reflective client-centred sessions or mindfulness practice will be most helpful at any stage.

Online formats offer practical benefits for many people. Video calls let participants meet face to face when a fuller conversation is useful. Phone sessions suit those who prefer not to use video or who have lower bandwidth. Live chat and text-based messaging are useful for brief check-ins, journalling prompts and ongoing support between calls. These options make it easier to fit therapy around work, family and other commitments while keeping the focus on meaningful change.