Sara Da Silva, LISW-CP, LCSW

How therapy approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, depression, and making meaningful life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new ways of responding. CBT often helps with anxiety, low mood, and coping skills for everyday problems. Emotionally-Focused Therapy (EFT) pays attention to emotions in the moment and how those feelings shape relationships and self-understanding; it can help people process grief, connection struggles, and intense feelings.

Finding the right approach is part of the work. The therapist will talk with each person about their goals and preferences and then try methods that fit. That decision is collaborative and can change as needs evolve over time.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video calls are good for in-depth conversations and visual cues. Phone sessions can be helpful when bandwidth is limited or for a shorter check-in. Live chat and text allow quick check-ins, ongoing reflection, and pacing that fits a busy day. These options make it easier to keep continuity of care and fit therapy into work, family, and medical schedules.