Approaches that translate well to online care

Margaret uses evidence-based techniques that fit telehealth work. One approach she uses is mindfulness-based support, which teaches simple awareness and breathing skills to reduce anxiety and improve emotional regulation. This can help with panic, depression, and stress responses. Another approach is grief counseling, which focuses on processing loss through structured conversations and coping strategies to find ways forward after bereavement.

She also draws on Rational Emotive Therapy ideas to help people identify and challenge unhelpful thoughts and replace them with more balanced thinking. That method is goal-oriented and works well when clear patterns of thinking are affecting mood or behavior. Choosing which approaches to use is collaborative; the therapist and client discuss goals, try options, and adjust based on what helps most.

Online therapy offers flexibility for people with busy schedules or limited travel options. Video calls let the therapist and client use visual cues during sessions, while phone sessions require less bandwidth and can be a good fit for brief check-ins. Live chat and text-based messaging allow for shorter, ongoing contact between sessions and can help maintain momentum. These formats make it easier to fit therapy into a workday, a caregiving routine, or varied time zones.