Noreen Akhtar, BACP, NCPS

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings while choosing actions that match their values. It is useful for depression, anxiety and major life changes because it focuses on small practical steps rather than trying to get rid of every negative thought. Cognitive Behavioural Therapy looks at patterns of thinking and behaviour and teaches concrete techniques to test and change those patterns, which can reduce symptoms of low mood and worry. Client-Centred Therapy gives people space to talk without judgement and to make sense of their feelings at their own pace; it helps when someone needs a steady, listening presence.

Finding the right approach is part of the work. The counsellor will talk with the client about goals and try methods together to see what fits best. That collaborative process makes it easier to adjust techniques over time and to focus on what helps the individual make day-to-day changes.

Online therapy offers flexibility and different ways to connect. Video calls allow face-to-face conversation and visual cues, phone sessions can be used when bandwidth is limited or for a shorter check-in, and live chat or text messaging can suit people who prefer writing or need quick, ongoing support between sessions. These options make it easier to fit therapy around work, family and other commitments while keeping progress consistent.