Marcia Holloway, BACP

Acceptance and Commitment Therapy, or ACT, helps people notice painful feelings without getting overwhelmed and take actions that match their values. It is often used for anxiety, stress and coping with life changes and long-term health issues. Cognitive Behavioural Therapy, CBT, looks at the link between thoughts, feelings and behaviour and gives practical exercises to test and change unhelpful patterns; it is commonly used for anxiety, depression and sleep problems. Attachment-Based Therapy focuses on how early relationship patterns shape trust and closeness now, and it can help with intimacy and communication struggles.

Finding the right approach is part of the work. The therapist will discuss goals and try methods together to see what fits best. That collaborative process means approaches can be adjusted over time to match changing needs and priorities.

Online therapy offers a range of ways to connect - video calls, phone sessions, live chat or text-based messaging. Video calls allow face-to-face conversation when a longer discussion is needed. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat or messaging can be useful for brief check-ins, ongoing support or when it helps to write things down. These options make it easier to fit therapy around work, caring responsibilities or travel and support continuity when life changes occur.