Midge Spong, LCSW

Practical approaches for online support

Midge uses client-centered methods that keep the client's priorities at the center of sessions. This approach focuses on listening, reflecting what matters to the client, and building goals based on the client's values and needs. It is useful for people who want a collaborative, respectful space to figure things out.

She also draws on cognitive behavioral therapy, which looks at habits of thinking and behavior and uses short exercises to test new ways of acting and thinking. This approach can help with anxiety, low mood, and patterns that get in the way of daily functioning. Solution-focused techniques are used to identify small, immediate steps and build momentum toward practical goals like parenting strategies or career moves.

Choosing an approach is a team effort. The therapist will talk with the client about goals and preferences and then try approaches that fit. If something isn't helping, they will adjust the plan together so the work stays relevant and useful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is helpful for face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and text are useful for brief check-ins, quick problem solving, or when writing out thoughts feels easier. These options make it easier to fit therapy into a busy life and keep progress moving between meetings.