Lauren Greeley, LCSW

How therapeutic approaches translate to online care

Client-centered therapy puts the person's concerns and goals front and center. In practice this means the therapist listens closely, follows what matters to the client, and adapts conversations and goals instead of forcing a fixed plan. This approach helps people feel heard and guides how practical steps are chosen.

Cognitive Behavioral Therapy, or CBT, focuses on the link between thoughts, feelings, and behavior. Sessions typically look at unhelpful thinking patterns and teach clear techniques to shift reactions and build better habits. It is often chosen for anxiety, depression, and sleep problems because it offers concrete tools.

Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and improved communication. It provides actionable skills for managing anger, intense emotions, and relationship struggles, and can be used alongside other strategies.

Finding the right blend of approaches is part of the work. The therapist will collaborate with each person to choose methods that fit their needs, goals, and preferences. That process may involve trying tools from different models and adjusting course based on what helps most.

Online sessions are offered by licensed professionals using video calls, phone sessions, live chat, and text-based messaging. Video works well for in-depth conversations and visual cues. Phone sessions can be a good option when bandwidth is limited or for a quicker check-in. Live chat and messaging support shorter exchanges, homework checks, or ongoing coaching between calls. These options make scheduling easier and let people fit therapy around work, caregiving, or other commitments.