Layla Kareem, BACP

Attachment-based work looks at how early bonds influence current relationships and reactions. Online sessions can be used to notice patterns in close relationships and practise different ways of connecting or setting boundaries. Client-centred therapy places the client's perspective at the heart of sessions, with the counsellor offering empathy and reflection. This approach works well in written or spoken formats, letting people set the agenda and explore what matters most. Cognitive behavioural therapy (CBT) focuses on linking thoughts, feelings and actions and testing small behavioural experiments. CBT techniques adapt easily to online formats, such as structured exercises and shared planning for practical changes.

Finding the right mix of approaches is part of the work. Layla will collaborate with each person to decide which ideas to try first, based on needs, goals and what feels comfortable. That choice can change over time as progress is made and priorities shift.

Online therapy offers flexibility in how sessions happen. Video calls let people see each other and use visual cues. Phone sessions are useful when a shorter check-in is needed or when bandwidth is limited. Live chat and text-based messaging suit people who prefer writing to speaking or who want to reflect before replying. These options make it easier to fit therapy around work, family and day-to-day demands while still using recognised therapeutic methods with registered or accredited professionals.