Dr. Kristen Rumley, LCSW

How attachment and client-centered work translate online

Dr. Rumley uses attachment-informed and client-centered approaches to guide online work. Attachment-based methods look at how early and current relationships shape feelings and reactions; this helps when clients want to change patterns in close relationships or improve parenting connections. Client-centered Therapy focuses on listening closely and following the client’s goals; the therapist reflects concerns back and helps people identify what matters most to them.

Mindfulness techniques are also used to help manage anxiety and stress by training attention to the present moment and reducing reactive responses. These approaches are explained plainly and tried collaboratively so the client and therapist can decide what fits best. Finding the right mix is part of the work and the therapist will adjust methods based on the client’s needs, goals, and preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is often preferred for face-to-face conversation and visual cues, while phone calls can work when bandwidth is an issue or for simpler check-ins. Live chat and messaging are useful for brief reflections, between-session check-ins, or when a shorter, written approach fits someone’s schedule. These options make it easier to fit therapy into busy days and to choose the format that supports steady progress.