Paula Barlow, NCPS

Paula uses client-centred work to place the person's experience at the centre of each session. This approach means the conversation follows what matters most to the client and the counsellor reflects back to help clarify feelings and goals. Cognitive behavioural therapy (CBT) is used to spot unhelpful thoughts and try practical experiments to change them, which can be useful for anxiety, low mood and stress.

Mindfulness practices are offered to develop simple ways of noticing thoughts and bodily sensations, which can reduce reactivity and improve sleep or focus. These methods are explained clearly and practised together so people can use them between sessions.

Finding the right approach is part of the work. Paula will help the person weigh up what feels useful, try different techniques, and adapt the plan based on progress and preferences. This is a collaborative process where goals and methods are reviewed together.

Online therapy offers flexibility for many people. Video calls allow face-to-face conversation and visual cues; phone sessions need less bandwidth and can fit a short break at work. Live chat and text-based messaging give quick check-ins or a way to reflect when writing feels easier. These options make it simpler to keep therapy consistent around other commitments and daily life.