Deborah Ritchie, BACP

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values, then taking small meaningful actions even when feelings are difficult. It can help with depression, anxiety and motivation by linking values to practical steps. Cognitive Behavioural Therapy (CBT) looks at patterns of thought and behaviour and teaches ways to test and change unhelpful habits; it is often used for worry, low mood and sleep problems. Client-Centred Therapy places the person’s experience at the heart of sessions and aims to create a steady, respectful space for exploring concerns.

Finding the right mix of these approaches is part of the work. The therapist will collaborate with the client to choose methods that fit their goals and preferences, adapting pace and techniques as needed. This is presented as a team effort where practical goals are agreed and reviewed along the way.

Online formats include video calls, phone sessions, live chat and text-based messaging, which makes it easier to fit therapy around work, study or family life. Video is useful for a fuller face-to-face feel, phone works well when bandwidth is limited, and messaging can suit shorter check-ins or ongoing written reflection. These options give flexibility while keeping the focus on consistent, practical steps people can use between sessions.