Holly Caruso, LCPC, LMHC

Approaches that translate well to online care

Client-centered therapy focuses on listening and following what matters most to the person. It creates a space where clients can name their goals and decide the pace of change. Cognitive behavioral therapy, or CBT, teaches practical skills to notice unhelpful thoughts and try different behaviors; it is often used for anxiety, depression, and stress management. Mindfulness therapy introduces simple attention and breathing practices to help manage strong emotions and increase present-moment awareness.

Finding the right mix of approaches is part of the work. The therapist will talk with each person about their goals and preferences, and together they will choose strategies and skills to try. That collaborative process makes it easier to adjust methods as progress is made or priorities shift.

Online sessions offer flexibility in how care happens. Video calls are useful for in-depth conversations and visual connection. Phone sessions can work well when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging are helpful for people who want brief check-ins, written reflection, or support between longer appointments. These options make it easier to fit therapy into a busy life and to try methods consistently over time.