Nicole Rossetti, LCSW

Therapeutic approaches that work well online

Client-centered work focuses on listening and shaping sessions around what matters most to the individual. It helps people feel heard and guides the conversation toward their goals rather than a preset agenda.

Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions. It uses simple exercises and experiments to change unhelpful thinking and build new habits, which translates well to video or text-based work.

Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and interpersonal skills. Those are practical tools for managing anger, impulsivity, or intense emotions and can be practiced between sessions regardless of format.

Finding the best approach is a joint process. The therapist and client will discuss goals, try methods, and adjust as needed. This collaborative stance helps match skills and strategies to what actually helps the person in daily life.

Online sessions offer flexibility for busy schedules. Video calls bring face-to-face interaction when visual cues matter. Phone sessions use less bandwidth and can fit a quick check-in during a break. Live chat and text-based messaging allow short check-ins, ongoing accountability, or writing out thoughts between meetings. These options make it easier to keep therapy consistent while fitting into work, school, or parenting routines.