Silvia Rosenthal, LCSW

Approaches in online therapy and what they do

Client-centered therapy is about listening closely and making space for each person’s experience. The therapist follows the client’s lead, reflects feelings, and helps people clarify their own goals and values. This approach helps when people need acceptance and clearer thinking about next steps.

Cognitive Behavioral Therapy, or CBT, focuses on the link between thoughts, feelings, and actions. It involves noticing unhelpful thought patterns, testing them, and trying new behaviors. CBT can be useful for anxiety, depression, and stress where changing daily habits makes a difference.

Solution-focused therapy zeroes in on small, concrete changes that move a person toward their goals. Sessions often set one or two practical steps to try before the next meeting and then review what worked. This method helps when someone wants faster, goal-directed progress.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their needs, goals, and preferences. Plans are adjusted over time based on what the client finds helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets therapists see nonverbal cues and run exercises that need visual contact. Phone sessions can be easier when bandwidth is limited or a quicker check-in is needed. Live chat and text messaging offer brief check-ins and ongoing support between meetings. These options add flexibility so therapy can fit work, family, and travel schedules.