Alaina Bigger, LISW, LCSW

Therapeutic approaches and online care

Alaina commonly uses cognitive approaches that focus on identifying and changing unhelpful thoughts and behaviors. These techniques help people manage anxiety, low mood, and impulsive reactions by teaching clear, repeatable skills for day-to-day life.

She also draws on psychodynamic ideas to notice recurring patterns that come from past relationships and experience. This helps clients understand why they repeat certain behaviors and opens possibilities for new choices. Systemic thinking is another strand she uses to look at how family dynamics and communication shape problems, which can be useful for parents and those in blended or adoptive family situations.

Choosing the right approach is a collaborative process. She will work with clients to identify goals, try methods that fit those goals, and adapt over time. Clients help set priorities and decide which techniques feel most helpful.

Online therapy gives flexibility for busy schedules. Video calls allow face-to-face conversation when that matters most. Phone sessions use less bandwidth and can be easier to fit into a break at work. Live chat and text-based messaging are useful for quick check-ins, ongoing support between sessions, or when writing out thoughts feels easier than speaking.