Louisa Cibrian, BACP

Approaches used online and how they help

Louisa uses trauma-focused therapy to help people process difficult or overwhelming events and reduce the hold those memories have on daily life. That approach focuses on understanding how past harm affects feelings and behaviour and on developing ways to manage upsetting memories and triggers.

She also uses attachment-based work to explore patterns in close relationships. This helps people see where relationship habits come from and to build more supported ways of relating to others. Client-centred counselling is another strand of her practice, offering a supportive space where the person sets the pace and topics for sessions.

Finding the right approach is a collaborative process. Louisa will talk with each person about their needs, goals and preferences and then together decide which methods to try. She adjusts the mix of approaches as therapy progresses so the work stays relevant to the client's goals.

Online formats include video calls, phone sessions, live chat and text-based messaging. Video calls allow face-to-face conversation and visual cues, phone sessions can be used when bandwidth or camera use is difficult, and chat or messaging can suit shorter check-ins or people who prefer writing. These options give flexibility for different schedules, quieter surroundings and varied session lengths, making it easier to fit therapy into everyday life.