Janice Doan, MD, LCSW-C

Therapeutic approaches adapted for online care

Client-centered therapy centers the person's experience and preferences in each session, focusing on active listening and building trust so parents and individuals can talk through what matters most. This approach helps people feel heard and guides the therapist to shape sessions around real goals.

Cognitive Behavioral Therapy, or CBT, breaks down thoughts, feelings, and behaviors into manageable pieces and teaches practical tools to change unhelpful patterns. CBT is useful for anxiety, depression, parenting stress, and mood-related concerns because it gives concrete skills to try between sessions.

Dialectical Behavior Therapy, or DBT, offers skills for emotion regulation, distress tolerance, and clearer communication. Those techniques can help when strong feelings, interpersonal conflict, or overwhelming stress get in the way of daily functioning.

Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to identify goals and try techniques that fit their needs and preferences. That collaboration helps shape whether sessions emphasize skills practice, reflective talk, or both.

Working online via video calls, phone sessions, live chat, or text-based messaging makes it easier to fit therapy into a busy life. Video allows face-to-face conversation and visual cues, phone calls use less bandwidth and can be a good option for brief check-ins, and chat or messaging supports short updates or ongoing check-ins between appointments. These options increase flexibility and help people keep therapy consistent while juggling caregiving, work, and other responsibilities.