Mark Callaway, BACP

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings and then commit to actions that match their values. It can be useful for depression, anxiety and coping with life changes by focusing on what matters rather than getting stuck in avoidance.

Cognitive Behavioural Therapy (CBT) focuses on the links between thoughts, feelings and behaviours. It teaches practical techniques to test unhelpful thinking and build small, manageable habits that reduce symptoms over time.

Attachment-based and emotionally focused approaches look at how past relationship patterns affect current connections. These ideas are helpful when trust, intimacy or ongoing family dynamics are part of the problem.

Finding the right approach is part of the work. The therapist will discuss options and agree a plan based on the person's needs, goals and preferences. That collaborative process helps tailor sessions to what feels most useful for each person.

Online therapy can fit different lifestyles. Video calls are close to face-to-face and let the therapist and client read visual cues. Phone sessions work well when internet bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are useful for brief check-ins, short coaching tasks, or when people want ongoing written support between calls. These choices make it easier to keep therapy consistent around work, family and other commitments.