Practical approaches online: ACT, CBT, and mindfulness

Dr. Krall often uses Acceptance and Commitment Therapy to help people notice hard thoughts and feelings without getting stuck in them. ACT focuses on values and small, meaningful actions so people can move toward what matters despite discomfort.

He also uses Cognitive Behavioral Therapy to identify and change thinking patterns that fuel anxiety, depression, and impulsive behavior. CBT includes simple experiments and homework to test new ways of acting and thinking. Mindfulness practices are woven into sessions to build attention and reduce reactivity, which can help with stress, sleep, and focus concerns.

Finding the right approach is part of the work together. The therapist and client review symptoms, goals, and preferences and then try methods that fit. That collaborative process means adjustments are expected as treatment unfolds.

Online formats include video calls, phone sessions, live chat, and text-based messaging to make therapy fit day-to-day life. Video is useful for face-to-face conversation and exercises, phone can be easier when bandwidth is limited, live chat and messaging work for brief check-ins or reflective notes between sessions. These options let people access therapy without rearranging their whole schedule and make follow-up and practice easier to maintain.