Lisa Harvey, BACP

Several well-established approaches can be used in short, focused ways to address symptoms of depression and anxiety. One approach focuses on identifying unhelpful thinking patterns and testing them with practical experiments to reduce low mood and worry; it helps people spot when thoughts make problems worse and try different responses. Another approach centres on rebuilding routine, activity and meaningful steps to lift mood and increase energy by encouraging manageable behavioural changes each week. These methods are straightforward to explain and try together during sessions.

Deciding which approach to use is a shared process. The therapist will talk through options, try techniques in session, and adjust the plan based on what feels most helpful. Goals and preferences guide the choice so work remains relevant to everyday life.

Online sessions are offered by video call, phone, live chat or text-based messaging, giving practical flexibility. Video calls work well for face-to-face conversation, phone sessions can suit quieter audio-only check-ins, live chat provides a brief real-time option, and messaging supports shorter written check-ins between meetings. These formats make scheduling easier and help fit therapy around work, family and other commitments.