Caralisa Alvis of Lee, BACP

How therapeutic approaches translate to online therapy

Trauma-Focused Therapy looks at the impact of distressing events and works to reduce their ongoing effect on daily life. This approach often uses paced conversations and techniques that help people make sense of painful memories and reduce reactivity.

Attachment-Based Therapy focuses on patterns in relationships and how early bonds shape current connections. It helps people identify familiar ways of relating, feel understood, and practise new ways of connecting with others.

Finding the right approach is part of the work. The therapist will discuss goals, preferences and what feels manageable, then try approaches that match those needs. That shared decision-making helps tailor sessions to individual circumstances rather than applying one fixed method.

Online formats provide practical benefits for many people. Video calls allow a face-to-face conversation when travel is difficult, phone sessions need less bandwidth and can fit into a short break, and live chat or text messaging can be useful for brief check-ins or when writing feels easier. These options make it simpler to keep therapy consistent around work, caring duties or other commitments, and they let therapists practise the same therapeutic ideas in different ways.