Susan Clayton, BACP

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice what matters most to them and take small actions that match those values. It can help with depression, anxiety and coping with life changes by teaching simple skills to move forward despite difficult thoughts and feelings.

Attachment-Based Therapy looks at how early relationship patterns affect how people connect and react now. It can be useful when trust, abandonment fears or relationship problems keep repeating and people want different ways of relating.

Finding the right approach is a collaborative process. The therapist will talk with the client about goals, preferences and what has or has not helped before, then use that information to try different ways of working together. That means the plan can change as progress is made or as needs shift.

Online sessions are offered by video call, phone, live chat or text-based messaging to suit different schedules and situations. Video calls let people see facial cues and maintain a conversational rhythm. Phone sessions can work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging suit brief check-ins, written reflection or people who prefer typing to speaking. These options make it easier to fit therapy around work, family and travel commitments while keeping the focus on steady, practical help.