Pippa Vlietstra, NCPS

Pippa uses attachment-based ideas to help people understand how early relationships affect current patterns. This approach looks at how trust, closeness and separation show up now and helps people try different ways of relating in day-to-day life. Somatic therapy is also part of her work and focuses on the body's signals - noticing tension, breath and movement to reduce strong physical reactions to stress and trauma. Finding the right approach is part of the process. Pippa works collaboratively to decide which methods suit each person's goals and comfort. Together they review what is helping, what feels hard, and adjust the plan as needed. Online formats offer practical benefits for this kind of work. Video calls allow face-to-face interaction for relationship work and somatic noticing. Phone sessions can be easier when video would be taxing or when bandwidth is limited. Live chat and text-based messaging are useful for shorter check-ins, sharing reflections between sessions or when someone prefers written communication. These options make it easier to fit therapy around work, family and unpredictable schedules while keeping the focus on progress and usable tools.