Zsuzsanna Purnell, BACP

CBT, or Cognitive Behavioural Therapy, focuses on spotting unhelpful thoughts and testing them with simple, practical experiments. It is useful for anxiety, depression and day-to-day thinking that gets in the way of functioning.

DBT, or Dialectical Behaviour Therapy, teaches skills to manage strong emotions and reduce impulsive behaviour. People often use these skills when they struggle with intense mood swings, self-harm urges or addictive patterns.

EFT, or Emotionally-Focused Therapy, looks at how emotions shape close relationships and personal meaning. It helps people deepen self-understanding and repair important bonds.

Finding the right approach is part of the work. The therapist will discuss your goals and try different ways of working until a suitable match emerges. This is a collaborative process where your needs and preferences guide the choice of techniques.

Online therapy offers practical flexibility. Video calls make it possible to have more in-depth sessions while phone sessions suit shorter check-ins or days with limited bandwidth. Live chat and text-based messaging can be useful for ongoing support, quick reflections between sessions or when typing feels easier than speaking. These options help fit therapy around work, childcare and travel commitments while keeping the focus on the therapeutic goals.