Kitty Schwichiski, NCPS

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and commit to small actions that match those values. It is useful for anxiety, low mood and feeling stuck because it focuses on living a meaningful life rather than trying to eliminate every uncomfortable thought. Cognitive Behavioural Therapy, known as CBT, looks at the link between thoughts, feelings and behaviour and uses practical exercises to change unhelpful patterns. CBT often helps with panic, phobias, obsessive thinking and mood problems. Client-Centred Therapy centres the conversation on the person's experience, offering empathy and non-judgemental listening so people can explore feelings at their own pace.

Finding the right approach is a collaborative process. The therapist will discuss goals, preferences and what has helped or not helped before. Together they will try methods that fit the person's needs and adjust as progress is reviewed, so therapy evolves with the client.

Online therapy offers flexible ways to meet. Video calls let people see facial cues and practise skills together, phone sessions work well when bandwidth is limited or for check-ins, and live chat or text messaging can suit shorter updates or ongoing support between sessions. These options make it easier to fit therapy around work, family or mobility needs while keeping focus on the practical tools and reflective work that help people move forward.