Dr. Ibrahim Ndabavunye, HCPC

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, and to act in ways that match their values. It can be useful for persistent anxiety, low mood and difficulties with life changes. Cognitive Behavioural Therapy (CBT) focuses on identifying unhelpful thoughts and patterns and testing small changes in behaviour to reduce symptoms and improve coping. It often suits worries, sleep and eating problems. Attachment-Based Therapy looks at how early relationships shape current patterns in close relationships and can help when intimacy or relationship issues cause distress.

Choosing the right approach is part of the work. The therapist will talk through the person’s priorities, goals and preferences and then suggest methods to try. That choice is reviewed together so the plan fits what actually helps in practice.

Online therapy offers flexibility in how people connect. Video calls allow face-to-face conversation and visual cues, phone sessions can fit a break at work or use less bandwidth, and live chat or text sessions are helpful for short check-ins and ongoing support. These options make it easier to keep therapy going alongside family, work and travel commitments, while letting therapists use ACT, CBT or attachment-focused techniques in ways that suit each format.