Tammy Person, LPC

How therapeutic approaches translate to online sessions

Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be helpful for anxiety, depression, parenting stress, and life changes. Cognitive Behavioral Therapy, or CBT, focuses on spotting patterns of thinking that lead to unhelpful behaviors and practicing new responses; it is often used for anxiety, mood problems, and coping skills. Client-Centered Therapy emphasizes listening and empathy so people feel understood while they work on goals; this approach supports a safe space for hard conversations and trying new strategies.

Choosing the right mix of approaches is a collaborative process. The therapist and client review concerns, goals, and preferences together and then try methods that seem likely to help. If something does not fit, they adjust the plan and try another technique until the client feels progress.

Online therapy formats here include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full sessions that feel similar to in-person meetings. Phone sessions are a good option when lower bandwidth or walking during a break works better. Live chat and text messaging can be used for brief check-ins, homework support, or when shorter, more frequent contact helps maintain momentum.