Carla Baker, BACP

Therapeutic approaches you can use online

Carla draws on a few key approaches that translate well to online work. Attachment-based therapy looks at how early bonds shape present relationships and helps people notice repeating patterns in close connections. It is useful for relationship difficulties, intimacy issues and people who feel stuck in familiar interactions.

Client-centred therapy focuses on empathic listening and the person’s own goals. The counsellor follows the client’s priorities, offering reflection and support while the client decides the pace and direction of change. This approach suits people who want a gentle, self-directed process.

Cognitive behavioural therapy, or CBT, is about spotting unhelpful thoughts and trying practical steps to change them. It works well for anxiety, low mood and sleep-related problems because it offers clear exercises to practise between sessions.

Finding the right mix of approaches is part of the work. The therapist will collaborate with the client to choose methods that match their needs, goals and preferences. That choice can shift as therapy progresses, and adjustments are made together.

Online formats offer practical advantages. Video calls let people see non-verbal cues and have a fuller conversation. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and text messaging are useful for frequent, brief support and for people who prefer writing. These options make therapy more flexible and easier to fit around work, care duties and travel.