Hana Clubb, NCPS

Acceptance and Commitment Therapy (ACT) asks people to notice what matters most to them and to take small steps in that direction, even when difficult thoughts show up. It can help with anxiety, low mood and motivation by focusing on values and practical action. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and uses short, focused exercises to change unhelpful patterns; it often helps with sleep problems, anxiety and low mood. Attachment-Based Therapy pays attention to how early relationships influence current emotional responses and can be useful when worry, abandonment or relationship patterns are a concern.

Finding the right approach is part of the work. The counsellor will collaborate with each person to choose methods that match their goals and preferences. That means trying different techniques in session and adjusting them based on what helps most.

Online therapy here uses video calls, phone sessions, live chat or text messaging to make counselling more flexible. Video gives face-to-face time when that is helpful. Phone sessions can be easier when broadband is limited. Live chat and messaging are useful for brief check-ins, practical homework and for people who prefer writing. These options help fit therapy around work, caregiving or distance from a therapist.