How therapy approaches translate to online care

Garland draws on Cognitive Behavioral Therapy to help clients spot unhelpful thoughts and test new behaviors. CBT breaks problems into small parts and gives concrete exercises to practice between sessions, which works well over video or messaging.

Motivational Interviewing is used to explore a person's own reasons for change and build motivation at their pace. That method focuses on listening, asking useful questions, and helping people choose goals that feel doable.

Solution-Focused Therapy narrows the view to what’s already working and how to do more of it. Sessions often set one or two small goals and track progress, a tidy fit for brief check-ins by chat or phone.

Finding the right approach is a collaborative process. Garland will talk with a client about their goals, try different techniques, and adjust the plan based on what feels most helpful. He aims to match methods to the client's needs and preferences rather than sticking to one fixed style.

Online formats - video calls, phone sessions, live chat, and text messaging - give practical flexibility. Video is useful for longer conversations and skills practice. Phone sessions can be easier when bandwidth is limited. Live chat and text are good for shorter check-ins, quick strategy coaching, or fitting therapy into a busy day.