Amanda Jones, NCPS

A client-centred approach means sessions begin with what matters most to the person. In online meetings this looks like open conversation, reflective listening and tailoring questions to the client’s immediate concerns. It helps with mood issues such as depression and builds trust even when the session is virtual.

Attachment-based work explores relationship patterns and how they affect feelings and behaviour. Through discussion and gentle reflection, clients can spot repeating dynamics that fuel anxiety or low self-worth and practise different ways of relating that feel safer and more satisfying.

Solution-focused techniques concentrate on practical steps and small goals. Online formats are well suited to this because homework, short check-ins and brief action plans can be shared easily between sessions to keep progress moving.

Finding the right mix of approaches is part of the work. The therapist will collaborate with the client to decide which methods fit their needs, goals and preferences. That collaborative process may shift over time as priorities change.

Online therapy offers flexibility and accessibility. Video calls let people use visual cues and a fuller conversational style. Phone sessions work well when bandwidth is limited or a shorter, focused check-in is needed. Live chat and text-based messaging suit people who prefer to write, want ongoing brief support, or need to fit sessions around busy schedules.