Approaches that translate to online care

Nicole commonly uses cognitive behavioral therapy, which focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like anxiety or panic. That work can include simple exercises and homework between sessions to track progress.

She also uses mindfulness therapy to help people notice stress responses and practice calming attention skills. These short practices are easy to learn over a video call and can be used during noisy or busy days to regain focus.

Motivational interviewing is part of her toolkit for people who feel unsure about change. It centers on clear conversations about values and next steps, which can be handled effectively through chat or phone check-ins as well as video.

Finding the right approach is a collaborative process. The therapist will discuss goals, preferences, and what has or hasn’t worked before, then try methods that fit the person’s needs. Adjustments are made as progress unfolds so the work stays relevant.

Online formats offer practical flexibility: video calls for in-depth sessions, phone for a lower-bandwidth option, chat for brief check-ins, and text messaging for ongoing support between meetings. These options make it easier to keep therapy consistent around work, school, and caregiving responsibilities.