Therapeutic approaches adapted for online care

Melissa often uses Acceptance and Commitment Therapy (ACT) to help people notice difficult thoughts and feelings without getting stuck in them. ACT focuses on choosing actions that match values, which can help with anxiety, depression, and life transitions.

She also uses Client-Centered Therapy, which prioritizes active listening and building a trusting relationship. That approach helps people feel understood and creates a base for trying new skills. Cognitive Behavioral Therapy, when used, breaks concerns into thoughts, feelings, and behaviors and teaches concrete tools to change patterns.

Choosing the right method is a team effort. Melissa will talk with each person about goals and preferences and suggest approaches that fit those aims. If something isn’t helping, she adjusts the plan and tries different strategies together.

Online sessions are offered by video call, phone, live chat, or text messaging to make care more flexible. Video is useful for deeper conversation and skills practice, phone works well for check-ins or when bandwidth is limited, and chat or text can be good for brief check-ins and ongoing support. These options let people fit sessions into busy schedules and keep continuity of care when travel or timing would otherwise be a barrier.