Approaches that translate to online care

Carey uses cognitive behavioral therapy to help identify unhelpful thoughts and change behaviors that keep problems going. CBT is useful for anxiety, depression, ADHD-related routines, and many daily challenges. Motivational interviewing is another tool he uses to help people clarify goals and find internal reasons to change; it is effective when someone feels stuck or unsure about next steps. Narrative therapy helps people examine the stories they tell about themselves and try alternative ways to understand their life events and choices.

Choosing the right approach is a shared process. Carey will talk with each person about their goals, preferences, and what has or hasn’t worked in the past. Together they decide which methods to try and adjust the plan over time based on what helps most.

Online sessions are offered by video, phone, live chat, or text-based messaging to provide flexibility. Video lets you work through exercises that benefit from face-to-face interaction, while phone calls can be easier when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging support brief check-ins, tracking progress, or staying connected between longer sessions. These options make it easier to fit therapy into a busy schedule and to keep momentum between appointments.