Vivienne James, BACP

Vivienne draws on well established, evidence-based therapeutic techniques that focus on practical change. One common approach is skills-based work that teaches breathing, grounding and behavioural strategies to reduce panic and manage anxiety. These techniques are taught in short steps and practised between sessions to build confidence and reduce symptoms.

Another useful approach emphasises exploring thought patterns and beliefs that feed low mood, shame or self-criticism. This focuses on noticing unhelpful thoughts, testing them in small ways and replacing them with more helpful views. It suits people wanting clearer day-to-day coping tools and better self-esteem.

Finding the right approach is part of the therapeutic process. The therapist will work collaboratively with each person to choose techniques that match their needs, goals and preferences. That may mean trying a few methods and adjusting what is used as therapy progresses.

Online sessions are offered by registered or accredited professionals using video calls, phone, live chat and text messaging. Video calls work well for in-depth conversations and visual cues, phone sessions are useful when bandwidth is limited, and chat or messaging can suit shorter check-ins or people who prefer not to use a camera. These options make therapy more flexible and easier to fit around work, family and other commitments.