Reuben Alexander, NCPS

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting trapped by them. It focuses on values and small actions that move life in the direction a person cares about, which can help with depression and life changes.

Cognitive Behavioural Therapy, CBT, looks at how thoughts, feelings and behaviours interact. It gives practical exercises to challenge unhelpful thinking and build routines that improve sleep, mood and anxiety symptoms.

Attachment-Based Therapy explores relationship patterns formed early on and how they affect current connections. It is useful for intimacy issues, abandonment feelings and family of origin concerns.

Finding the right approach is part of the work. The therapist will discuss options and try techniques together to see what fits the client’s needs, goals and preferences. This collaborative process means methods can be adjusted as therapy progresses.

Online sessions can be conducted by video call, phone, live chat or text-based messaging. Video calls let people use visual cues, phone sessions need less bandwidth and can be easier when a quick check-in is needed, and messaging can suit short updates or ongoing support between meetings. These options make it easier to attend sessions from different places and at different times, offering flexibility while keeping therapy focused and practical.