Practical approaches adapted for online work

Susan commonly draws on Acceptance and Commitment Therapy and Attachment-Based Therapy to guide her online work. ACT focuses on helping people clarify their values and take small actions toward them while accepting difficult thoughts and feelings. It can be useful for anxiety, stress, and uncertainty about life direction. Attachment-Based Therapy looks at how early relationship patterns shape current connections; it helps people notice interaction styles and practice new ways of relating when trust or closeness is difficult.

She also uses Client-Centered techniques that emphasize empathic listening and collaboration. That means the therapist listens deeply, reflects what she hears, and helps clients set goals that feel meaningful. Choosing the right mix of approaches is a team effort - Susan works with each person to decide which methods fit their goals, needs, and preferences and adjusts the plan as progress unfolds.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and try exercises together, while phone sessions can be a simpler option with lower bandwidth. Live chat and text messaging are good for brief check-ins, coaching moments, or ongoing support between sessions. These options offer flexibility to fit therapy into busy days or when in-person meetings aren’t possible.