Steven Millership, BACP

Client-centred therapy focuses on listening and reflecting back what matters to the person. Online sessions let a counsellor follow the client’s lead and build a trusting conversation through video or text. This approach is useful for people who want empathic listening and space to make sense of their feelings.

Cognitive behavioural therapy or CBT looks at patterns of thinking and behaviour and tests small changes to see what helps. In online work CBT can include talking through examples, setting tasks between sessions and using messages to check progress. It suits problems like anxiety, low mood and unhelpful routines.

Steven treats finding the right approach as a shared task. He will talk with clients about goals, try techniques and adjust methods if something does not fit. That collaborative process helps match the style of therapy to the individual rather than assuming one way will work for everyone.

Using video calls, phone sessions, live chat or text-based messaging gives practical flexibility. Video is good for face-to-face conversation, phone calls can work when bandwidth is limited, live chat allows shorter check-ins and messaging supports ongoing reflection between sessions. Online formats make it easier to fit therapy around work, family and other commitments while still getting regular support from a therapist.