Nicola Burgess, BACP

How these approaches work in online therapy

Client-Centred Therapy places the person’s experience at the heart of sessions. The counsellor listens without rushing and follows the client’s lead to build understanding and self-acceptance. This approach is helpful for anxiety, low self-worth and when someone needs emotional support.

Narrative Therapy focuses on the stories people tell about their lives. Together the client and counsellor separate problems from the person and look for alternative meanings. This can be useful for trauma, relationship difficulties and patterns that feel stuck.

Solution-Focused Therapy concentrates on small, practical steps towards change. Sessions often identify strengths and immediate actions that bring relief. This approach can help with stress, motivation and short-term goals.

Finding the right approach is part of the process. The therapist will work collaboratively to understand needs, goals and preferences, and will adapt methods when necessary. Clients are encouraged to try different ways of working until they find what helps.

Online sessions are available by video call, phone, live chat or text messaging, which makes therapy more flexible. Video calls let people use visual cues, phone sessions need less bandwidth and can be a quicker check-in, while chat and messaging suit those who prefer written reflection or need shorter, more frequent contact. These options help therapy fit around work, family and other commitments.