Randa Barnes, BACP

Attachment-based work looks at how early relationship patterns shape current reactions. Online sessions using this approach help people notice attachment habits, try new ways of relating, and practise different responses within their own relationships. Cognitive behavioural therapy (CBT) focuses on the links between thoughts, feelings and behaviours and gives practical exercises to change unhelpful patterns; it suits worries, low mood, and coping with change. Mindfulness therapy teaches simple attention practices to reduce reactivity and improve focus, which can help anxiety, sleep and stress.

Finding the right approach is part of the work. The therapist will discuss goals, preferences and practical needs and then suggest ways of combining methods. This is a collaborative process and can be adjusted as progress is made or needs change.

Online therapy offers flexibility and a range of formats. Video calls allow face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, live chat supports shorter check-ins, and text-based messaging suits ongoing reflection between sessions. These options make it easier to fit therapy around work, family commitments and travel while maintaining continuity of care with registered or accredited professionals.