Liz Elshaw, BACP

Approaches you can use online with a counsellor

Hypnotherapy can help people access focused relaxation and imagery to shift habits, reduce stress and manage anxiety symptoms. It is often used alongside talking therapy to support behaviour change or stronger coping with difficult feelings.

Acceptance and Commitment Therapy, or ACT, teaches practical ways to accept difficult thoughts while committing to actions that match personal values. It is useful for anxiety, depression and coping with life transitions because it focuses on what matters most to the person.

Attachment-Based Therapy looks at how early bonds affect current relationships and emotional responses. When relationship patterns cause distress, this approach helps explore those patterns and build different ways of connecting.

Finding the right approach is part of the work. The therapist will talk with each person about their goals and preferences and then choose or combine methods that fit those needs. That decision is collaborative and can change as therapy progresses.

Online sessions offer practical flexibility. Video calls let people keep visual contact and read body language, phone sessions work well when bandwidth is low or a quieter check-in is needed, and live chat or text messaging suits shorter check-ins or people who prefer writing. These options make it easier to fit therapy around work, family or mobility needs while still working with a registered or accredited professional.