Barbara Castro, LCSW

Approaches and remote therapy options

Client-Centered Therapy emphasizes listening and responding to each person’s needs, allowing the session to follow their priorities and pace. It helps when people need someone who will hear them and help them make their own decisions. Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and actions and offers practical strategies to change unhelpful patterns; it is useful for anxiety, depression, and stress-related problems. Dialectical Behavior Therapy provides specific skills for managing strong emotions, improving relationships, and tolerating distress when feelings feel overwhelming.

Choosing the right approach is part of the work together. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before. Together they decide whether to try CBT techniques, DBT skills, a client-centered pace, or a blend of methods that fits the person’s situation.

Online sessions can happen by video call, phone, live chat, or text-based messaging, which makes it easier to fit therapy into a busy life. Video calls let people see facial cues and have a fuller conversation. Phone sessions use less bandwidth and can be a good shorter check-in. Live chat and text messaging allow brief updates, mood check-ins, or continuing work between longer sessions. These options offer flexibility for schedules, quiet times, and different communication preferences while keeping therapy focused on progress and practical tools.