Ian Deslow, NCPS

How therapeutic approaches translate to online therapy

Ian uses a mix of practical approaches that adapt well to online work. Cognitive behavioural therapy (CBT) focuses on spotting patterns of thought and testing new behaviours to reduce anxiety and depression. It often involves simple exercises and homework that are easy to share and review in video or messaging sessions.

Attachment-based work looks at how early relationships affect how people connect now. In online sessions this approach supports clearer thinking about relationship patterns and helps people try new ways of relating in their daily life. Trauma-focused therapy pays attention to past wounds and their ongoing impact, using steady, paced conversations and grounding techniques to help reduce distress during recall.

Finding the right approach is a collaborative process. The therapist will talk with the client about goals, preferences and what feels most helpful, then try methods that fit those aims. Plans are reviewed together so the approach can change if needed.

Online formats offer practical advantages. Video calls let people see facial cues and use worksheets together. Phone sessions work well when bandwidth is limited or for a shorter check-in. Live chat and text messaging suit people who prefer to write, need flexible timing or want a lower-pressure way to share between calls. These options make it easier to fit counselling into work, study or family routines.