Prerna Nautiyal, BACP

Prerna draws on client-centred work to keep the focus on the person in front of the screen. That means sessions begin with listening to what matters most to the client and shaping the conversation around their priorities. This approach helps with relationship issues, self-esteem and practical life decisions.

She also uses mindfulness techniques in online sessions to help with stress, anxiety and grounding. These are short, guided practices that can be done during a video call or as short exercises between meetings. Trauma-focused and somatic ideas are used when bodily reactions or past trauma are part of the difficulty; in that work she guides people to notice physical responses and to develop manageable ways of responding to them.

Finding the right approach is a collaborative process. Prerna will work with clients to decide which methods suit their goals and comfort level, and she will adjust the plan as progress is made. Clients are encouraged to say what feels helpful and what does not so the work can change over time.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video suits deeper conversations and guided exercises, phone calls work well for lower bandwidth or when being on camera is difficult, and chat or messaging is useful for brief check-ins or short-term support between sessions. These options offer flexibility for different schedules and life demands.