Michele Gouin, LMSW, LCSW

Making therapy work online with tailored approaches

Client-Centered Therapy focuses on what matters most to the person. The therapist follows the client’s priorities, listens carefully, and adjusts the pace so people feel heard and respected. This approach helps when someone needs a supportive space to talk through problems and decide what to change.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. It uses practical exercises and short experiments to change unhelpful patterns. CBT can be helpful for anxiety, depression, stress, and motivation issues where concrete steps make a difference.

Emotionally-Focused Therapy concentrates on how emotions and attachment shape relationships and intimacy. It helps people name feelings, understand patterns, and try new ways of connecting. This can be useful for relationship strain and for people wanting to improve closeness or communication.

Finding the right approach is part of the work. The therapist will discuss goals, preferences, and what feels most useful. Together they decide whether to focus on feelings, thoughts and behaviors, or a mix of methods and then adjust as progress is made.

Online sessions are offered by video call, phone, live chat, or text messaging to make therapy fit a busy life. Video calls allow face-to-face conversation, phone sessions work well when bandwidth is limited, live chat suits shorter check-ins, and text messaging helps people stay connected between sessions. These options make it easier to schedule therapy around work, caregiving, or other commitments.