Madalina Trusca, BACP

Attachment-based work focuses on how early relationships affect current patterns of closeness and trust; it helps with relationship problems, intimacy concerns and chronic anxiety by looking at how people react when they feel threatened or distant. Psychodynamic therapy pays attention to repeated patterns that originate in past relationships and family messages, supporting people who want to understand why they respond in certain ways and to shift those long-standing habits. Internal Family Systems looks at the different parts of a person - for example an anxious part or a critic - and helps clients learn to relate to those parts with curiosity and care, which can be useful for trauma, self-esteem and mood struggles.

Choosing the right approach is part of the work together. The therapist will discuss your goals, preferences and what you hope to change, and then suggest ways of working to trial in sessions. This is a collaborative process and adjustments are made as needs evolve.

Online sessions are offered by video calls, phone, live chat or text messaging to provide flexibility. Video calls allow face-to-face conversation and shared visual cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and text messaging are useful for ongoing support between conversations or when a written exchange feels more comfortable. These options make it simpler to fit therapy around work, family or mobility constraints and to keep contact consistent over time.