Therapeutic approaches adapted for online care

CBT, or cognitive behavioral therapy, focuses on noticing and changing unhelpful thoughts and behaviors. Online sessions use worksheets and brief exercises to practice new ways of thinking and to set realistic behavioral experiments between meetings.

DBT, or dialectical behavior therapy, emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness. Skills training and short mindfulness practices help people manage strong feelings and reduce reactive behaviors in day-to-day life.

Finding the right approach is a collaborative process. The therapist will talk with clients about their goals and try methods that match their needs and preferences. Adjustments are made over time so the work stays useful and relevant.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversations and screen-sharing of worksheets. Phone sessions can be a lower-bandwidth option, and live chat or text messaging work well for quick check-ins, brief coaching, or when writing feels easier. These formats make it simpler to fit counseling into busy schedules and to keep steady contact between sessions.