Elizabeth Johnson, LCSW

Approaches that translate well to online therapy

Acceptance and Commitment Therapy, or ACT, focuses on clarifying what matters to you and taking small committed steps toward those values while learning to notice painful thoughts without getting driven by them. This approach can help with anxiety, depression, and coping with life changes. Client-Centered Therapy emphasizes a supportive, listening stance where the therapist follows the person’s lead and helps them access their own strengths; it can be useful when someone needs space to sort feelings and build confidence. Cognitive Behavioral Therapy, or CBT, breaks larger problems into specific thoughts and behaviors to change; it often suits people wanting structured tools for anxiety, mood, and stress.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked in the past. Together they will choose or combine methods that fit the person’s situation and adjust the plan as needed.

Online sessions are offered by video call, phone, live chat, or text messaging to provide flexible ways to connect. Video is useful for fuller conversation and exercises, phone can be easier when video is not possible, live chat supports shorter check-ins, and text messaging lets people send notes or check progress between meetings. These options make it easier to fit therapy into work, caregiving, or busy schedules while keeping momentum between sessions.