Josephine Patten-Walsh , BACP

Josephine Patten-Walsh is a counsellor with ten years' experience in the United Kingdom. She is registered with the British Association for Counselling and Psychotherapy (BACP). Josephine offers practical, down-to-earth help for people facing stress, anxiety, loss and relationship difficulties.

Her style is warm and straightforward. She focuses on helping people understand their emotions and change behaviours that cause harm. Sessions are aimed at making everyday life feel more manageable and relationships easier to navigate.

Josephine uses a mix of well-known approaches to suit each person's needs. She draws on Cognitive Behavioural Therapy (CBT) to tackle unhelpful thoughts and Acceptance and Commitment Therapy (ACT) to build values-based action. Attachment-based ideas are used to look at patterns in close relationships.

Over the years she has supported people through bereavement, trauma, addiction concerns and major life changes. She also pays attention to issues such as sleep problems, low self-esteem, parenting strain and caregiver stress.

Sessions can be brief problem-focused work or longer therapy aimed at deeper understanding. Josephine aims to be collaborative, helping people choose sensible steps and coping strategies that fit their life and goals.

How therapeutic approaches translate to online care

Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and feelings while choosing actions that match their values. It can help when worry, avoidance or low motivation get in the way of living well. Cognitive Behavioural Therapy (CBT) focuses on spotting unhelpful thinking patterns and testing them with practical exercises. It is useful for anxiety, low mood and sleep problems. Attachment-Based Therapy looks at patterns in close relationships and how early experiences shape current reactions, which can help with intimacy and trust issues.

Finding the right approach is part of the process and usually happens together. The counsellor will talk with the person about goals, preferences and what has or hasn't helped before. Together they choose methods to try and adjust them as work progresses to make sure the approach fits the person's needs.

Online therapy offers practical flexibility. Video calls are most like an in-person session and allow face-to-face interaction. Phone sessions need less bandwidth and can be easier to fit into a work break. Live chat or text-based messaging suits quick check-ins, journalling-style reflection or people who prefer typing. These options make it easier to keep continuity, fit therapy around a busy life and use different ways of working when that helps progress.