Brittany Hill, LCSW

How therapy approaches fit into online care

Acceptance and Commitment Therapy, often called ACT, focuses on helping people notice their thoughts and feelings without getting stuck in them, and then choose actions that match their values. It is useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns; it is commonly used for anxiety, panic, and depression. Attachment-Based Therapy examines how early relationship patterns shape current connections and communication, and it can help with relationship conflicts, trust issues, and feelings of isolation.

Choosing the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. That may mean trying one approach first, then mixing in techniques from others based on what proves most helpful.

Online therapy offers flexible ways to meet the same clinical goals as in-person care. Video calls allow face-to-face conversation and nonverbal cues, phone sessions can be easier when bandwidth is limited, live chat works for shorter check-ins, and text messaging supports brief progress notes and skill reminders. These options make it easier to schedule sessions around work, childcare, or other responsibilities while keeping therapy consistent and practical.