Sophie De Carvalho, BACP

Approaches used in online therapy and what they do

Sophie commonly works from a person-centred base, which prioritises the client’s own priorities and feelings. That approach focuses on listening closely and helping people feel understood, which can be especially helpful for trauma, anxiety and relationship worries.

She also uses elements of Cognitive Behavioural Therapy, a practical method that looks at how thoughts, feelings and behaviours link together. CBT can help with anxiety, stress and unhelpful patterns by introducing small, manageable changes to thinking and behaviour.

Attachment-focused ideas are another strand Sophie draws on to understand how early relationships shape current reactions. This can help people make sense of patterns in relationships, boundaries and feelings of abandonment or emptiness.

Finding the right approach is part of the work. Sophie will talk with each person about their needs, goals and what feels comfortable, and she will adapt techniques collaboratively rather than imposing a single method.

Online sessions are offered by video call, phone, live chat or text-based messaging. Video calls suit deeper conversations with face-to-face contact, phone sessions can be easier when bandwidth is limited, and text or chat formats are useful for shorter check-ins or fitting therapy into a busy day. These options make it easier to arrange therapy around work, caregiving or travel.