Francis Joseph Gallego, LCSW

Approaches that inform online care

Attachment-Based Therapy focuses on how early relationships affect current bonds and trust. It helps people who struggle with fear of abandonment, attachment issues, and repeated relationship patterns by looking at how those patterns began. Client-Centered Therapy emphasizes listening and empathy; the therapist follows the client’s lead and helps clarify values and goals. It is useful for people wanting a supportive space to make sense of difficult choices. Cognitive Behavioral Therapy, or CBT, breaks down thoughts, feelings, and actions into manageable pieces and teaches practical skills to change unhelpful patterns. It often helps with anxiety, depression, and coping during life changes.

Finding the right approach is part of the work. The therapist collaborates with each person to try techniques and see what fits. Goals, preferences, and daily realities guide which methods are used and adjusted over time.

Online therapy offers flexibility through video calls, phone sessions, live chat, and messaging. Video is useful for full conversation and visual cues. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text messaging suit brief updates, on-the-go support, or people who prefer writing. These options make it easier to fit therapy around work, caregiving, and travel while keeping the methods above adaptable to different formats.