Andrew Breen, LMSW

How evidence-based methods translate to online care

Many therapists use evidence-based techniques that teach concrete skills. One common approach focuses on identifying and changing unhelpful thinking and behavior patterns to reduce anxiety and depression. This helps people notice thought patterns, test them, and try alternative responses in daily life. Another useful approach emphasizes building practical coping skills and routines. That includes planning small experiments, using structured problem-solving, and developing strategies for sleep, stress, and managing cravings. These tools are aimed at improving day-to-day functioning and stability. Finding the best approach is a collaborative process. The therapist will ask about your goals, try a few techniques, and adjust plans based on what feels helpful. Clients and therapist work together to pick methods that fit your needs and pace. Online formats make that collaboration easier to fit into busy lives. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be a good option when bandwidth is limited or when you prefer not to use video. Live chat and text-based messaging let you check in between sessions or use therapy in short bursts during breaks. These options increase flexibility and help therapy continue even when schedules are tight.