Approaches that guide online sessions

Julianne commonly draws on structured, evidence-based techniques that focus on skills and behavior change. One approach emphasizes building coping skills step by step to reduce anxiety and manage mood swings; it helps people develop routines, handle stress, and curb impulsive behaviors. Another approach involves paced processing of difficult memories and reactions, helping people reduce the intensity of trauma-related symptoms while learning ways to manage triggers.

Finding the best approach is a collaborative process. She works with each person to identify goals, preferences, and what feels most useful in everyday life. Over a few sessions she and the client decide whether to focus on skill training, problem-solving, or gradual trauma work, and they adjust the plan as progress and needs change.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face interaction and visual cues, while phone sessions can be a good option when bandwidth is limited or a simpler check-in is preferred. Live chat and text messaging can support brief check-ins, homework follow-up, or steady care between longer sessions. These options make it easier to fit therapy into work, school, or caregiving schedules and offer flexibility for different communication preferences.