Emma Cuckson, BACP

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) encourages noticing thoughts and values-based actions. It helps people who feel stuck by teaching simple ways to accept difficult feelings and move toward what matters. Cognitive Behavioural Therapy (CBT) focuses on the links between thoughts, feelings and behaviours and uses practical exercises to change unhelpful patterns; it can be useful for anxiety, low mood and sleep problems. Attachment-Based ideas look at how early relationships shape expectations and emotional responses, helping people understand patterns in current relationships and build different ways of connecting.

Finding the right approach is part of the work together. The therapist will talk through your needs, goals and preferences and suggest which methods to try first. That decision is collaborative and can be reviewed as therapy progresses to make sure the way of working fits you.

Online therapy offers practical flexibility. Video calls let you see facial expressions and share materials; phone sessions can be easier when bandwidth is limited or for a shorter check-in; live chat and text-based messaging suit people who prefer writing or need more immediate flexibility during the week. These options make it simpler to fit therapy around work, caring responsibilities or mobility limitations while still using ACT, CBT and attachment-informed work.