Sian Owen, BACP

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without letting them dictate actions. It often focuses on values and small, committed steps towards a more meaningful life, which can help with depression and avoidance. Cognitive Behavioural Therapy (CBT) looks at how thoughts, emotions and behaviours interact and teaches practical skills to change unhelpful patterns. It is useful for anxiety, low mood and sleep difficulties. Client-Centred Therapy places the person at the heart of the work, offering empathy and non-judgemental listening so people can find their own solutions and build confidence.

Choosing an approach is part of the therapeutic process. The therapist will work collaboratively to identify which methods feel most useful based on the person’s goals and preferences. That might mean combining ideas from ACT, CBT and client-centred work and adjusting the plan as progress is made.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video allows face-to-face conversation and visual cues, while phone sessions need less bandwidth and can be easier to fit into a workday. Live chat and messaging can suit people who prefer shorter check-ins or written reflection. These options make it simpler to keep continuity with therapy while juggling daily commitments and travel.