Approaches that translate well to online care

Many of Dorothy's methods are grounded in evidence-based techniques that focus on skills and behavioral change. One common approach emphasizes practical coping skills to manage anxiety and panic - teaching breathing, grounding, and step-by-step exposure strategies so symptoms feel less overwhelming. Another approach centers on cognitive work to address negative self-talk, guilt, and shame by identifying unhelpful thoughts and trying more balanced ways of thinking. A trauma-informed approach is also used to help people process difficult memories at a pace that feels manageable and to build safety and stabilization skills.

Choosing the right approach usually happens together. Dorothy will talk with each person about goals, past experiences, and what feels most helpful. From there she tailors methods and adjusts them over time so the work matches the client’s needs and preferences.

Online therapy offers flexibility that suits many schedules. Video calls let people use visual cues and fuller conversation, phone sessions can fit a busy break or lower bandwidth situations, and live chat or text-based messaging work well for short check-ins or when typing feels easier. These options make it simpler to keep regular contact and practice new skills between sessions.