How these approaches translate to online therapy

Acceptance and Commitment Therapy, or ACT, encourages people to notice painful thoughts and feelings without getting ruled by them, then choose actions that match their values; it can help with anxiety, grief, and chronic patterns that cause suffering. Cognitive Behavioral Therapy, or CBT, focuses on identifying thought and behavior patterns that fuel distress and then trying concrete alternatives to change how someone feels and acts. Attachment-Based Therapy looks at how early relationship experiences shape current connections and intimacy, and it helps people practice new ways of relating.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. Plans are adjusted over time based on what is helpful and what the client wants to accomplish.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video calls are good for conversation and body language, phone sessions can work when bandwidth is limited or a quieter check-in is needed, and text or chat can fit brief check-ins or coaching-style support between sessions. These options make it easier to schedule consistent work around work, caregiving, or other responsibilities.