Mark McConnell, BACP

How different approaches work online

Somatic-informed work brings attention to bodily sensations and how they relate to feelings and habits. In online sessions this can mean noticing breath, posture or tension and using simple grounding practices to reduce overwhelm, which can help with stress, anxiety and trauma-related reactions.

Client-Centred Therapy focuses on listening and reflecting what matters to the person. The counsellor follows the client’s lead, offering empathy and space to make sense of experiences, which suits people who need acceptance and clarity around difficult choices.

Cognitive Behavioural Therapy, or CBT, targets thoughts and behaviours that keep problems going. Online CBT sessions often include short exercises and planning between meetings to change routines, manage low mood or tackle unhelpful thinking.

Finding the right mix of approaches is part of the work. The therapist will discuss goals, preferences and what feels most useful, and then try methods that fit the person’s needs. This is a collaborative process and adjustments can be made as therapy progresses.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation from home, phone sessions suit quieter check-ins, and live chat or text-based messaging provide brief, on-the-go support. These options make it easier to fit therapy around work, family and travel commitments while keeping the focus on meaningful change.