Louise Waterfall, BACP

Client-Centred Therapy places the client's experience at the heart of the session. Online, this means the counsellor follows the client's lead, listens closely and helps people make sense of their feelings and choices. This approach suits those who want a respectful, paced space to talk through difficult emotions.

Existential Therapy focuses on meaning, responsibility and life direction. In remote sessions, the counsellor will help people explore their values, choices and the sense of purpose behind their struggles, which can be helpful for career changes, grief or feelings of emptiness.

Somatic Therapy brings attention to body sensations linked to emotion. Even online, simple body awareness exercises, breath work and guided gestures can help a person notice how feelings show up physically and learn ways to respond differently.

Finding the right approach is part of the work. The therapist will discuss goals and preferences and together decide which methods to use. That collaborative process often starts with trying a few techniques and adjusting what feels most helpful.

Online sessions offer practical flexibility. Video calls are useful for real-time conversation and guided exercises. Phone sessions can be easier when bandwidth is limited or when the client prefers not to be on camera. Live chat and text messaging suit shorter check-ins or people who find writing easier than speaking. These options make it simpler to fit therapy around work, caregiving and travel.