Elizbeth Keeney, LCSW

How attachment and trauma work in online therapy

Elizbeth uses attachment-based ideas to notice how early relationships shape current reactions and intimate connections. This approach looks at patterns of closeness and distance and helps people name felt experiences that affect today’s relationships. She also draws on psychodynamic ideas to explore unconscious patterns that repeat over time. That work helps uncover how past hurts or interruptions influence current moods, choices, and relationships. Finding the right approach is a collaborative process. The therapist will work with the client to match attachment-focused, psychodynamic, or trauma-focused methods to the person’s goals and comfort level. Together they decide what to try and adjust as needed. Online sessions offer practical flexibility. Video calls let people read facial expressions and body language, which is useful for attachment and trauma work. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging allow shorter check-ins, quick support between sessions, or an option for people who express themselves better in writing. These formats make it easier to fit therapy into a busy life and to keep continuity when in-person visits are difficult. Licensed professionals can use these options to maintain steady work on long-standing patterns and responses to stress or trauma.