“Electronically delivered Cognitive Behavioural Therapy is at least as effective as face-to-face CBT”

EclinicalMedicine / The Lancet 2020

Online therapy simply involves your traditional face to face session but in the comfort of your own home (or workplace). It has been shown to be at least as effective as face-to-face sessions (Luo et al, 2000), but much easier to fit into your day, giving you more time to work on building that fulfilling life.

Working face-to-face I often find clients have to take 2-3hrs out of their day to attend. With today’s busy lives, sometimes this can increase stress. The ease and practical nature of a video call means no journey times to a clinic, giving you more time to work on building that fulfilling life. Face-to-face sessions can be problematic for children too as they can end up missing lessons. However, without the travel time, online sessions can slot into free periods. Finally, with online appointments, adolescents moving to university do not need stop sessions at a particularly nerve-wrecking time.

One of the things I love about online sessions are their interactive nature. The use of screen sharing means we can work easily together to build a diagrammatic understanding of negative cycles and traps occurring for you. It’s then also easy for you to take away the materials we’ve created so you can reflect on them afterwards.

Sessions are all secure, end-to-end encrypted, and I also use a waiting area and virtual private network (VPN) for additional security.

What is CBT?

Cognitive behavioural Therapy (CBT) is recognised the world over as the go-to treatment for depression, anxiety disorders and stress. There is a wealth of gold standard research spanning decades to back this up. As such, it is the government’s NICE guidelines most recommended treatment for psychological difficulties. Further information about CBT can be found here but please do not hesitate to call me if you would simply like to find out more.

What is ACT?

Acceptance and Commitment Therapy (ACT) is a ‘Third wave’ CBT therapy. Many of the principles are based on CBT research. However, there are some key differences from CBT. ACT draws a lot from mindfulness. Some may say it is mindfulness but with a commitment to make a behavioural change – with this commitment key towards helping you move towards the life you wish to have. Like CBT, there is a large amount of research showing its effectiveness.

Neither CBT nor ACT are based on rocket science. However, it can sometimes be very difficult to see the traps we get into, or possible solutions to our difficulties when they are so overwhelming. This is where a third person coming in can be helpful. Having an objective third-party to question particular thoughts, behaviours and choices can help us work out for ourselves what is best for us. I always like the analogy of two rock climbers. If a rock climber is stuck, all they can see is a wall in front of them. However, the climber alongside them can see much more. This third-party can lean back, observe, examine the current problem from a distance and suggest alternatives and possible paths to proceed helping the climber climb higher. That, to my mind, is the role of a therapist.

Contact Me

I’ve tried to include the most common questions on my FAQ page. However, any questions, whether about therapy, how online treatment works, or anything else, please feel free to contact me.