Shoshanna Joss, LCSW

Practical approaches for online therapy and change

Shoshanna often uses client-centered work to guide sessions. That approach focuses on what matters to the person and lets the client set goals while the therapist offers support and reflection. It works well for people who need a respectful space to sort through emotions and choices.

She also draws on Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions link together. CBT provides simple tools to test unhelpful thoughts and try different behaviors, which can help with anxiety, depression, and stress. Mindfulness therapy is another common element in her work and brings short grounding exercises and attention practices to reduce reactivity and improve focus.

Choosing the right approach is a shared process. The therapist and client review needs, goals, and preferences and then try methods that fit. That collaboration means approaches can shift as progress is made or new priorities emerge.

Online sessions offer practical benefits. Video calls let people use face-to-face interaction when helpful. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging work for brief updates, coaching-style support, or when writing feels more comfortable. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on real-life coping and change.