Patricia Foster, BACP

Attachment-based work focuses on patterns in relationships and how early bonds affect feelings and trust. Online sessions let people talk about closeness and loss while noticing how they form connections today. Cognitive behavioural therapy (CBT) looks at thoughts and behaviours that keep problems going and teaches practical exercises to change them, such as activity scheduling or simple thought records. Dialectical behaviour therapy (DBT) emphasises skills for managing strong emotions and improving coping, like breathing or grounding techniques.

Finding the right approach is part of the therapy process. The therapist will discuss goals and preferences with the client and together decide which methods to try first. That collaborative process means the plan can change as needs shift and progress is made.

Online therapy offers practical flexibility. Video calls are useful when visual cues help the conversation and when a longer session is needed. Phone sessions can be a good option if bandwidth is limited or for shorter check-ins. Live chat and text-based messaging work well for brief updates, reflection between sessions or when someone prefers not to be on camera. These options make it easier to fit therapy around work, caregiving and travel commitments, while keeping the focus on real, usable skills.