Astrid Tiefholz , ACA

Astrid Tiefholz works with women facing stress, anxiety, eating concerns, parenting challenges, depression and big life changes. She draws on four years of therapy experience and a background in midwifery and perinatal care to support clients through transitions like pregnancy, postpartum and perimenopause. Astrid writes plainly and listens without judgement to help people find manageable next steps.

Astrid uses a person-centred style that treats each person as the expert in their own life. In sessions she combines practical strategies from cognitive behavioural approaches with values-based work from Acceptance and Commitment Therapy. Mindfulness and DBT skills are offered when they help with emotion regulation and staying grounded.

She often helps with body image, eating and food-related issues, caregiver stress, fertility concerns, fatherhood issues, isolation and midlife questions. Astrid also brings experience supporting people on the autism spectrum and those coping with guilt, shame or financial worries. Her background includes perinatal mental health and work in workplace wellbeing and advocacy for women and LGBTQIA+ groups.

Astrid holds ACA credentials and has clinical training in counselling and mental health nursing. She has worked in parent-infant units and provided telehealth support as part of her practice. She draws on that clinical experience alongside lived parenting experience when helping people plan small, practical changes.

Sessions are straightforward and collaborative. People can expect clear, simple strategies to try between meetings and a focus on what matters most to them. Astrid aims to make therapy doable for busy lives and changing circumstances.

Therapeutic approaches and how they work online

Astrid commonly uses Acceptance and Commitment Therapy and Cognitive Behavioural Therapy in her work. ACT focuses on clarifying values and taking small steps that match what matters to you, which can help with life transitions and motivation. CBT looks at practical behaviour and thought patterns, offering tools to reduce anxiety, lift mood and change eating-related habits.

Finding the best approach is part of the process. Astrid works with each person to decide which methods fit their needs and goals. This is a collaborative conversation that can change over time as priorities shift.

Online sessions are offered by video call, phone, live chat or text-based messaging to suit different needs. Video calls give a face-to-face feel while phone sessions use less bandwidth and can be easier to fit into a busy day. Live chat and messaging are useful for quick check-ins, step-by-step support or for people who prefer not to be on camera. These options aim to make therapy flexible and easier to keep up with alongside family and work commitments.