Melanie O'Brien, BACP

Client-centred therapy emphasises a supportive, non-judgemental relationship and focuses on listening, empathy and reflection. Online sessions use the same core ideas - the counsellor offers attentive listening and helps the person explore feelings, which can be useful for depression, stress and relationship concerns.

Melanie also adapts other helpful techniques when they suit the person. She may introduce practical exercises or simple cognitive strategies to try between sessions to manage low mood or anxiety. These additions are used at a pace agreed with the person, so the approach stays collaborative and tailored to individual needs.

Finding the right way of working is part of the process. The therapist will discuss goals, preferences and what feels most useful, and will adjust methods accordingly. This collaborative exploration helps decide whether to focus on feelings, try short practical tasks, or combine both.

Online formats include video calls, phone sessions, live chat and text-based messaging, which make it easier to fit therapy around work, family or mobility needs. Phone sessions need less bandwidth and can be a shorter check-in, while text options allow ongoing reflection between sessions. Video calls recreate face-to-face interaction when that is preferred, offering flexibility to match practical circumstances and communication style.