Marcia Holloway, BACP

How her approaches translate to online therapy

Acceptance and Commitment Therapy helps people clarify what matters most and take small actions in line with those values. It is useful for anxiety, depression and life transitions because it focuses on meaningful goals rather than symptom elimination. Cognitive Behavioral Therapy looks at the links between thoughts, feelings and behaviours and gives practical exercises to test and shift unhelpful patterns. It is often helpful for anxiety, low mood and sleep problems. Attachment-Based Therapy considers how early relationship patterns influence current reactions and connection issues, and it can help with intimacy concerns and communication problems.

Finding the right approach is part of the process. The therapist will work together with each person to choose or combine methods that fit their needs, goals and preferences. Sessions begin with a simple plan and are reviewed as things change so the work stays relevant.

Online formats give practical flexibility. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging suit people who prefer writing or want support between sessions. These options make it easier to fit therapy around work, family and caregiving commitments while keeping the focus on steady, achievable progress.