How therapy approaches translate to online care

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and focus on actions that match their values. It is often used for anxiety, stress, and persistent worries to build a life that matters despite difficult feelings. Cognitive Behavioral Therapy, or CBT, teaches concrete skills to change thinking and behavior patterns that keep depression and anxiety going. It is useful for tackling symptoms and learning clear coping steps. Attachment-Based Therapy looks at how early relationships shape current reactions and closeness. It can help with relationship problems, fear of abandonment, and rebuilding trust.

Finding the right approach is part of the work. Dr. Martin-Perkins will collaborate with each person to choose methods that fit their goals, needs, and comfort level. That may mean combining elements from a few approaches and adjusting over time based on what helps.

Online formats offered include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and practice communication skills in real time. Phone sessions can be easier when bandwidth is low or a camera isn’t convenient. Live chat and text messaging are useful for brief check-ins, skill coaching, or when writing feels more comfortable than speaking. These options make it easier to fit therapy into busy schedules and to keep steady contact between meetings.