Stuart McNaughton, BACP, NCPS

Attachment-based work looks at how early relationship patterns shape current feelings and reactions. In online sessions this approach helps people spot recurring dynamics in friendships and romantic relationships and practice new ways of connecting. Client-centred therapy focuses on the person's own pace and priorities. The counsellor offers attentive listening and reflection so the client can find their own answers and build self-trust. Cognitive behavioural therapy, CBT, examines links between thoughts, feelings and actions and offers practical exercises to change unhelpful patterns.

Choosing the right approach is part of the process. The therapist will work collaboratively to identify goals and try different methods until something fits. That may mean blending attachment insights, person-centred listening and CBT exercises depending on the issue and what the client prefers.

Online formats here include video calls, phone sessions, live chat and text-based messaging. Video calls allow face-to-face conversation and visual cues. Phone sessions need less bandwidth and can fit into a short break. Live chat or text messaging can be useful for brief check-ins, homework discussion or when typing feels easier than speaking. These options give flexibility for people balancing work, family and other commitments.