How therapeutic approaches translate to online care

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting led around by them, then choosing values-guided actions. It can help with anxiety, attention struggles, and motivation. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches practical skills to shift unhelpful patterns; it is often used for depression, sleep problems, and stress. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and mindfulness skills to reduce impulsive reactions and improve relationships.

Finding the best approach is a team effort. Patrick will work together with a person to try methods that match their goals and day-to-day life, and adjust the plan as needed. The process usually blends short-term skills practice with longer conversations about what matters most to the client.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are good for face-to-face interaction and skill demonstrations. Phone sessions can fit into a busy day and use less bandwidth. Live chat and text messaging can be useful for quick check-ins, brief coaching, or tracking progress between sessions. These options offer flexibility so therapy can fit work, school, caregiving, or other routines.