Angelica Romero, LICSW, LCSW

Approaches that guide online therapy

Client-centered therapy focuses on listening and understanding a person’s perspective. The therapist follows the client’s lead, helping them make sense of their experience and decide what matters most. This approach is helpful when someone needs a supportive space to sort through feelings and choices.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts and actions affect feelings and behavior. Sessions often include practical exercises and homework to try new ways of thinking and acting. CBT can be useful for anxiety, panic, obsessive thoughts, and changing unhelpful patterns.

Eye Movement Desensitization and Reprocessing, commonly called EMDR, is a method used to reduce the intensity of traumatic memories. It involves guided attention and processing that can change how painful memories feel. EMDR is often considered when past events continue to cause strong reactions. Finding the right approach is a team effort. The therapist will talk with the client about goals, history, and personal preferences. Together they decide which methods to try and adjust the plan as progress is made. Online therapy makes these approaches accessible through video calls, phone sessions, live chat, or text-based messaging. Video lets people work face to face across distances. Phone sessions can fit into a short break or use less bandwidth. Live chat and text-based messaging are helpful for quick check-ins or ongoing support between sessions. These formats offer flexibility so therapy can fit into busy lives.