Neha Chahal, HCPC

Acceptance and Commitment Therapy, often called ACT, invites people to notice difficult thoughts and feelings and then choose actions that align with their values. It can help when anxiety, avoidance or low motivation get in the way of living the life someone values. Cognitive Behavioural Therapy, or CBT, focuses on identifying unhelpful thought patterns and learning straightforward techniques to change reactions and behaviours. It is useful for anxiety, depression and sleep difficulties. Attachment-Based Therapy pays attention to how early relationships shape current trust and connection, helping people rebuild safer ways of relating when relationship issues are central.

Finding the right approach is part of the work. The counsellor will talk with the client about current problems, goals and preferences and then agree on techniques to try. This is a collaborative process and approaches can be adapted over time if something isn't helpful.

Online sessions offer practical flexibility. Video calls allow face-to-face conversation for deeper relational work, while phone sessions can fit into a short break or suit lower bandwidth. Live chat and text-based messaging are useful for quick check-ins, written reflection or when someone prefers not to be on camera. These options make it easier to maintain continuity of care around work, family and other demands.