How therapy approaches translate to online care

Denise commonly uses client-centered therapy to shape sessions around the client's priorities and lived experience. That approach means the therapist listens closely, asks about goals, and follows the client's lead when deciding what to work on. It is helpful for people who want a collaborative, respectful pace.

She also uses cognitive behavioral therapy to help identify unhelpful thinking and build practical habits. CBT techniques are useful for anxiety, panic, depression, and patterns that feed substance use. Dialectical behavior therapy skills and mindfulness are brought in when emotion regulation, distress tolerance, or interpersonal effectiveness are needed.

Finding the right mix of approaches is part of the work. The therapist will talk with the client about goals, preferences, and what feels most useful, then adapt methods together. That collaborative process helps shape a plan that fits each person's life and needs.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. Video calls let people use visual cues and a fuller conversation. Phone sessions can be a good fit when bandwidth or camera use is a concern. Live chat and text messaging support shorter check-ins, quick skill practice, or ongoing encouragement between longer sessions.