Rae Ann Michalko, LCSW, LISW

Approaches that guide online sessions

Rae Ann draws on evidence-based therapeutic techniques that aim to reduce symptoms and build coping skills. One common approach focuses on changing unhelpful patterns of thinking and behavior by identifying problems, setting clear goals, and practicing new responses. This method helps with anxiety, depression, low motivation, and sleep issues. Another approach emphasizes skill-building for everyday life - teaching pacing, stress management, communication skills, and routines that support mood and relationships. These skills are useful for parenting stress, caregiver strain, anger, and difficulties with intimacy.

Choosing the right approach is a collaborative process. Rae Ann works with each person to understand their goals, preferences, and daily demands, then adjusts techniques to match. She reviews what’s working and adapts plans so the work fits real life rather than feeling like extra burden.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation when visual cues matter, while phone sessions are helpful when bandwidth or movement is limited. Live chat and text-based messaging make it easier to check in between sessions or fit brief check-ins into a busy day. This range of formats helps people keep continuity of care and apply new skills in their everyday settings.