There is no single right therapy. The best fit depends on what is actually going on for you right now. Match what you're feeling to an approach below. Every option links to the Fettle page where you can read more and book.
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Real Google reviews from people who found the right therapist through Fettle.
Fettle has been amazing to work with. Professional, supportive, and genuinely focused on helping people. The team is responsive, caring and consistently goes above and beyond. Highly recommended.
I found the whole booking process really quick and straightforward, and the platform itself is very easy to use. Any questions I had were answered quickly, and everyone I dealt with was genuinely helpful. The therapists have all been excellent.
Quick to book, easy to use, and really good therapists. Everything about this platform feels well-run and supportive. Love that it's all Irish-based and focuses on proper accredited therapy. Five stars.
I can't say enough good things about my experience with Fettle. From the very first session, I felt supported and heard. The platform is user-friendly, and my therapist has been wonderful, empathetic, skilled, and genuinely invested in my progress.
Without Fettle I'd have never had access to the therapist I meet with due to our locations. I was matched with Rebecca Lock. She is an incredible therapist who has helped me time and time again.
Very positive experience. Was very handy to be able to do from home.
My Fettle counsellor Ken was open and non-judgemental. He allowed me to set the agenda and flow of communication. I gained insight on my issues and feel empowered to overcome them.
The whole experience was very professional, highly recommend.
Excellent service, would recommend.
I've been using Fettle on and off now for 2 years. Thankfully Fettle paired me up with an excellent therapist based on the issues I said I would like to discuss and I've come a long way since then. I would recommend Fettle as they genuinely do their best to ensure people are matched with the right therapist.
Without Fettle I'd have never had access to the therapist I meet with due to our locations. I was matched with Rebecca Lock. She is an incredible therapist who has helped me time and time again.
I can't say enough good things about my experience with Fettle. From the very first session, I felt supported and heard. The platform is user-friendly, and my therapist has been wonderful, empathetic, skilled, and genuinely invested in my progress.
Quick to book, easy to use, and really good therapists. Everything about this platform feels well-run and supportive. Love that it's all Irish-based and focuses on proper accredited therapy. Five stars.
I found the whole booking process really quick and straightforward, and the platform itself is very easy to use. Any questions I had were answered quickly, and everyone I dealt with was genuinely helpful. The therapists have all been excellent.
Fettle has been amazing to work with. Professional, supportive, and genuinely focused on helping people. The team is responsive, caring and consistently goes above and beyond. Highly recommended.
I've been using Fettle on and off now for 2 years. Thankfully Fettle paired me up with an excellent therapist based on the issues I said I would like to discuss and I've come a long way since then. I would recommend Fettle as they genuinely do their best to ensure people are matched with the right therapist.
Excellent service, would recommend.
The whole experience was very professional, highly recommend.
My Fettle counsellor Ken was open and non-judgemental. He allowed me to set the agenda and flow of communication. I gained insight on my issues and feel empowered to overcome them.
Very positive experience. Was very handy to be able to do from home.
You don't need a diagnosis or the right clinical words to use this list. Find the description that sounds most like you, then follow the link. If more than one fits, start with whichever is causing the most disruption right now.
You don't have to be in crisis. Therapy is a reasonable next step if any of these are true:
If you are in immediate danger or thinking about harming yourself, contact emergency services on 112 or 999 now.
Anxiety, racing thoughts, worry loops
CBT is the most widely used approach for worry that keeps looping. It works on the thoughts and habits that keep anxiety going.
Trauma, PTSD, or feeling stuck on one specific event
Trauma-focused therapy helps the memory settle so it stops intruding on the present. EMDR and CPT are two structured options your therapist may use.
Relationship conflict, communication breakdown
When the problem lives between two people, working on it together usually gets further than working on it alone.
Intense emotions, self-harm urges, relationships that swing between extremes
DBT teaches practical skills for riding out big feelings without acting on them, and for keeping relationships steadier.
Feeling stuck, avoiding what matters, out of step with your own values
ACT helps you make room for difficult feelings and move towards what matters to you anyway, instead of waiting for them to pass.
Grief, bereavement, loss
Grief has its own pace. Grief therapy gives it somewhere to go, whether the loss was recent or years ago.
Substance use or a compulsive pattern you can't stop
Addiction support looks at the pattern, what drives it, and realistic steps to change it, without judgement.
Persistent anger or irritability
Anger management works on what sits underneath the anger and on catching it earlier, before it costs you something.
Chronic pain with an emotional or psychological side
Pain, mood, sleep and stress feed each other. Chronic pain therapy targets that loop so pain takes up less of your life.
Worries about a teenager
Teenagers often need a therapist who works with their age group, and a setting where they will actually talk.
Not sure, just low mood or stress that won't lift
Start with individual therapy. Your therapist will help you work out what is going on and will say if a more specific approach would suit you better.
What each approach is best for and what actually happens in a session. Read the linked page for the full picture.
| Approach | Best for | What a session actually looks like | Link |
|---|---|---|---|
| CBT | Anxiety, worry loops, panic, unhelpful thinking habits | Structured and practical. You look at specific situations, spot the thought patterns behind them, and practise different responses. Often includes short exercises between sessions. | CBT |
| Trauma therapy (EMDR, CPT) | PTSD, a specific event you can't move past, flashbacks, hypervigilance | Paced carefully. Early sessions build safety and coping skills before the difficult material is worked through. EMDR uses guided eye movements; CPT uses structured writing and discussion. | Trauma therapy |
| Couples counselling | Conflict, communication breakdown, trust, drifting apart | Both partners attend together. The therapist helps each of you say what you mean, hear the other, and work through the arguments that keep repeating. | Couples counselling |
| DBT | Intense emotions, self-harm urges, unstable relationships | Skills-focused. Sessions teach concrete tools for managing distress, emotions and relationships, then review how they went in real life. | DBT |
| ACT | Feeling stuck, avoidance, life not matching your values | Reflective and practical. You explore what matters to you, notice where avoidance is getting in the way, and practise acceptance and mindfulness skills. | ACT |
| Grief therapy | Bereavement, loss, grief that isn't easing | Gentle and led by you. Space to talk about who or what you lost and what life looks like now, without being rushed towards moving on. | Grief and loss therapy |
| Addiction support | Alcohol, drugs, gambling, compulsive behaviours | Honest and non-judgemental. Sessions look at the pattern, what drives it, and realistic steps to change it. Setbacks are treated as information, not failure. | Addiction therapy |
| Anger management | Persistent anger, irritability, outbursts you regret | Practical. You unpick what sits underneath the anger, learn to notice the early warning signs, and practise ways of responding before it boils over. | Anger management |
| Chronic pain therapy | Long-term pain that affects mood, sleep or daily life | Collaborative. Sessions focus on how pain, mood, sleep and activity affect each other, and on strategies that reduce the grip pain has on your life. | Chronic pain therapy |
| Youth therapy | Teenagers dealing with anxiety, low mood, school or family stress | Age-appropriate and confidential. A therapist experienced with teenagers helps them put words to what is going on, with parents involved as agreed. | Youth therapy |
| Individual therapy | Low mood, stress, or something that feels off but doesn't have a name yet | Open-ended talking therapy. You bring whatever is on your mind and your therapist helps you make sense of it. A good first step if nothing above fits neatly. | Book a session |
All sessions are online with IACP-accredited therapists. No GP referral is needed for any of them.
That's normal. Plenty of people read a list like this and can't place themselves, or place themselves in three rows at once.
You have two easy options. Book a free concierge call and talk it through with our team, who will point you to the right approach and therapist. Or book an individual session and let your therapist help you work it out in the room.
From finding the right therapist to easy scheduling, Fettle makes it easier to start feeling better by giving you access to personalised support from licensed professionals on a flexible online platform.
Therapy, also known as counselling or psychotherapy, is a collaborative process where you work with a trained professional to explore your thoughts, feelings, and behaviours. It provides a safe, confidential space to address challenges, develop coping strategies, and work towards personal growth. Therapy can help with everything from everyday stress to more complex mental health concerns.
In your therapy sessions, you'll have a supportive space to discuss what's on your mind. Your therapist will listen without judgement and help you gain new perspectives on your challenges. Sessions typically run 50 minutes and are tailored to your specific needs and goals. Together, you'll develop practical strategies and insights that you can apply in your daily life.
Our matching process connects you with a therapist who specialises in your specific concerns—whether that's anxiety, depression, relationship issues, grief, or life transitions. You can let us match you based on your needs and preferences, or browse therapist profiles to find someone who resonates with you. All our therapists are fully accredited, experienced professionals.
Online therapy removes the barriers to getting support. No commuting, no waiting rooms—connect from wherever feels comfortable for you. Research shows online therapy is just as effective as in-person therapy, with the added benefits of flexible scheduling, greater accessibility, and the comfort of your own space. Many clients find it easier to open up when they're in a familiar environment.
Pick a date and time and we'll connect you with an accredited therapist. If a more specific approach would suit you better, your therapist will say so.
Our therapists bring together clinical experience, evidence-based care, and a compassionate approach to help clients understand what they’re experiencing and access the right support.
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Common questions from people deciding where to start
That is one of the most common reasons people start therapy, and you don't need a clearer answer than that to begin. Start with individual therapy. Your therapist's job in the first session or two is to help you put words to what is going on, and if a more specific approach would help, they will say so. If you would rather talk it through before booking, Fettle's free concierge call is there for exactly that.
Yes. Nothing you choose now is fixed. Many therapists draw on more than one approach and will adjust as they get to know you. If the fit feels wrong, tell your therapist, or contact Fettle and we will help you move to a different approach or a different therapist.
No. You don't need a diagnosis, a GP referral or a formal label to book therapy with Fettle. Most people start without one. If an assessment would be useful, your therapist can suggest it, but it is never a condition of getting support.
That's normal, because these problems overlap. Anxiety and low mood usually travel together, and trauma can show up as anger or relationship trouble. Pick the one causing the most disruption right now and start there. A good therapist will work across whatever else comes up.
Appointments are usually available within 24 hours. All sessions are online, with IACP-accredited therapists, so you can start from home without a waiting list or a referral.
Yes. Research consistently shows that online therapy is as effective as in-person therapy for most concerns. Many people prefer it because there is no travel and they can talk from their own space. Fettle's video platform is secure and sessions are confidential.
Book an individual session and work it out with a therapist, or call us and we'll point you in the right direction.