Elliot Rose conducting an online therapy session

Online Therapy

Online therapy. Not as a fallback. As the way it should be done.

Secure, private video sessions with a BABCP-accredited CBT specialist. From wherever you are — across the UK and internationally.

This isn't "we also do online." Online IS the service.

Let's be direct: this is an online-only practice. Not because I couldn't rent an office — because an office would make therapy worse for most of my clients.

The people I work with are professionals, business owners, and high-performing individuals with packed diaries, frequent travel, and limited tolerance for inefficiency.

Online therapy removes every barrier that stops busy people from getting the help they need. And before the question forms in your mind — yes, it works just as well. The evidence is emphatic.

Client attending an online therapy session from home

What the research actually says

This isn't my opinion. It's what decades of clinical trials have demonstrated:

Online CBT produces equivalent outcomes to face-to-face CBT. A landmark meta-analysis by Carlbring et al. (2018), published in the Journal of Anxiety Disorders, reviewed 20 randomised controlled trials and found no significant difference in treatment outcomes between internet-delivered and face-to-face CBT.

The therapeutic alliance — the quality of the relationship between therapist and client — is maintained online. Research by Simpson & Reid (2014) and others has consistently shown that clients form strong, productive working relationships with their therapists via video, comparable to in-person sessions.

Attendance and completion rates are often higher for online therapy. Fewer cancellations due to travel, weather, childcare, or work conflicts. For professionals with demanding schedules, this translates to more consistent engagement and better outcomes.

NICE guidelines support online delivery of CBT for anxiety disorders, depression, OCD, and PTSD.

The evidence isn't ambiguous. Online CBT works. For many people — particularly those with busy, unpredictable schedules — it works better, simply because they actually attend.

The practical case for online therapy

No commute, no lost time

A 50-minute session takes 50 minutes. Not 50 minutes plus an hour of travel plus the stress of rearranging your afternoon. You close one tab, open another. Done.

Complete privacy

No one sees you enter a building with "Therapy" on the door. No waiting room encounters with someone from your network. Your session happens on your screen, in your space, on your terms.

Fits around your real life

Early morning before the office. Lunchtime with the door closed. Evening after the children are asleep. The flexibility means therapy actually happens — not "I'll start when things calm down" (they never calm down).

Location-independent

Working from home? Fine. In the office? Fine. Travelling? Fine. Relocated to another country? Still fine. Your therapy continues regardless of where you are.

UK-wide and international

I work with professionals across the UK — London, Manchester, Edinburgh, Cardiff, Belfast — and internationally. Your location is irrelevant. Your needs are what matter.

What to expect — the practical details

Before your first session

  • You'll receive a secure link via email. No special software to install.
  • I use an encrypted, GDPR-compliant video platform designed for healthcare.
  • All you need is a stable internet connection, a device with a camera and microphone, and somewhere private.

During sessions

  • Sessions run for 50 minutes, at a scheduled time each week.
  • We work from a shared screen when useful — I can show you CBT worksheets, thought records, and formulation diagrams in real time.
  • It feels like a focused conversation. Within a session or two, most clients forget the screen is there.

Between sessions

  • You'll have between-session tasks (CBT is active — you don't just talk, you do). These are agreed collaboratively, not assigned like homework.
  • I'm available for brief email contact between sessions if something comes up.
  • Outcome measures are completed at regular intervals so we can track progress objectively.

Technology requirements

  • Device: Laptop, desktop, tablet, or smartphone (laptop or desktop recommended for best experience).
  • Internet: A stable broadband or 4G/5G connection.
  • Space: Somewhere private where you won't be interrupted. A home office, bedroom, or even your car (parked) all work.
  • Headphones: Recommended but not essential — they add an extra layer of privacy.

Your privacy is non-negotiable

I take confidentiality seriously. Here's how your data is protected:

  • Encrypted video platform — Sessions use end-to-end encrypted video, compliant with UK data protection regulations (GDPR and the Data Protection Act 2018).
  • No recordings — Sessions are not recorded unless explicitly requested and consented to in writing (rare, and only for specific clinical purposes).
  • Secure clinical records — Notes are stored in encrypted, password-protected systems. No paper files.
  • Separate from NHS records — Private therapy doesn't appear on your NHS medical records. Your GP is only contacted with your explicit consent.
  • Professional body standards — As a BABCP-accredited therapist, I'm bound by the BABCP Code of Ethics and a duty of confidentiality. Breaches only occur in exceptional circumstances (imminent risk of harm), and I'd discuss this with you first wherever possible.

Your employer, your insurer (unless you're claiming), and your GP do not automatically know you're in therapy. Many of my clients' colleagues have no idea. That's the point.

Honest answers to the questions people actually ask

"Won't it feel impersonal?"

Almost every client who starts online therapy expecting it to feel distant reports the opposite within a session or two. When you're sitting in your own space, comfortable and unobserved, many people actually find it easier to open up. You're talking to a real person — the screen becomes invisible quickly.

"What if my internet drops?"

It happens occasionally. We reconnect. If the connection is genuinely poor, we switch to a phone call for that session. Technology hiccups don't derail therapy — they're a minor inconvenience, not a clinical issue.

"I'd prefer face-to-face."

That's a legitimate preference, and I'd encourage you to explore it. But I'd also invite you to consider: is the preference based on experience, or assumption? Many clients who were certain they needed in-person therapy discovered that online sessions were more convenient, more consistent, and — because they actually attended regularly — more effective.

"Is online therapy suitable for serious issues?"

Yes. Online CBT is used in NHS services for anxiety, depression, OCD, PTSD, and more. The severity of the issue doesn't determine the suitability of the medium — the quality of the therapy does. I deliver the same rigorous, evidence-based CBT online that any specialist would deliver in person.

"What about body language?"

I can see you from the chest up — which is where most clinically relevant non-verbal communication happens. Facial expressions, eye contact, posture, tone of voice — all clearly visible on video. The clinical information I need is available. What I lose in feet-shuffling, I gain in clients who actually show up consistently.

Wherever you are

UK-based clients: I work with clients across England, Scotland, Wales, and Northern Ireland. No geographic restrictions.

International clients: If you're a UK national living abroad, or an English-speaking professional based internationally, online therapy works seamlessly across time zones. We find a time that suits us both.

Expats and remote workers: Some of my clients are British professionals based in Europe, the Middle East, or beyond. Online therapy means your mental health support doesn't stop when you relocate.

Ready to start?

Book a free 15-minute exploratory call — itself conducted online, naturally. We'll talk about what's going on, whether I can help, and how the process works. No obligation. No pressure. Just a straightforward conversation.