Elizabeth Giele, LCSW, LICSW

How therapy approaches translate online

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, then choose small actions that match their values. This can be useful for anxiety, depression, or major life changes where taking values-based steps matters. Client-Centered Therapy focuses on listening, empathy, and building trust so people can explore their concerns at their own pace; it supports work on self-esteem, relationships, and life transitions. Finding the right approach is a collaborative process. The therapist will discuss goals, preferences, and what feels most helpful, then shape sessions to fit those needs. Together the client and therapist try different strategies and decide what to keep or change based on what actually helps. Online sessions offer practical flexibility. Video calls let people keep eye contact and use visual cues for deeper conversations. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are useful for brief check-ins, follow-up thoughts, or support between longer appointments. These options make it easier to attend sessions around work, caregiving, or health constraints while keeping the focus on progress and real-world coping.