How therapeutic approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting ruled by them and then choose actions that match their values; it can be useful for anxiety, depression, and motivation struggles. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with practical experiments and behavioral changes to reduce symptoms like low mood or worry. Dialectical Behavior Therapy (DBT) emphasizes skills for emotion regulation, distress tolerance, and safer communication, which can help with intense emotions, anger, and relationship difficulties.

Finding the right approach is something the therapist will do together with each person. Nichole discusses goals, tries techniques, and adjusts the plan based on what works and what feels doable. That collaborative process helps narrow which methods and skills fit a person’s needs and daily life.

Online formats here include video calls, phone sessions, live chat, and text-based messaging. Video fits longer sessions and hands-on teaching of skills, phone can work when bandwidth is limited, chat is useful for brief check-ins, and messaging supports ongoing coaching between meetings. These options make scheduling easier and let people use therapy around work, school, or caregiving responsibilities.