How therapeutic approaches translate to online care

Dr. Cates uses evidence-based techniques that focus on skills people can use right away. One approach emphasizes teaching coping and relaxation skills to reduce stress and ease anxiety; this involves practice exercises, breathing work, and simple behavior changes to lower day-to-day tension. Another approach centers on improving communication and problem solving for relationship and family concerns; sessions include role-play, clear goal setting, and steps to change unhelpful interaction patterns.

Choosing the right approach is a collaborative process. The therapist will review concerns, try methods that fit the situation, and adjust as goals evolve. Clients and the therapist decide together what to try first and how to measure progress over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video is useful when visual cues matter and deeper conversation is needed. Phone sessions work well when bandwidth is limited or a quieter interaction is preferred. Live chat and text messaging provide brief check-ins, ongoing support between sessions, and a way to fit therapy into a busy schedule. These options make it easier to schedule regular work on goals and to use skills in real life.