How therapeutic approaches fit into online care

Acceptance and Commitment Therapy (ACT) helps people focus on what matters and take action despite uncomfortable thoughts or feelings. It can be useful for long-term stress, grief, or problems that keep recurring. Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thoughts and behaviors, which often helps with anxiety, depression, sleep, and ADHD-related routines. Dialectical Behavior Therapy (DBT) offers concrete skills for emotional regulation, distress tolerance, and improving communication in high-stress moments.

Nancy treats finding the right approach as a collaborative process. She talks with each person about their goals and tries different methods to see what fits. The focus is on working together to build routines, coping skills, and clearer thinking that match the client’s needs and preferences.

Online sessions are offered by video, phone, live chat, or text-based messaging to make therapy easier to fit into busy lives. Video calls allow face-to-face conversation and skill practice, phone sessions can be a good choice when bandwidth is limited, chat or text messaging can provide shorter check-ins and written reminders of techniques. These options give flexibility for appointments, follow-ups, and different kinds of support without requiring travel.