Michael Mcbrearty, LCSW

How specific approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small, meaningful steps toward those values. Online sessions can combine discussion and short exercises to reduce avoidance and build consistent action. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors. In a virtual session, Michael can guide thought records, behavioral experiments, and homework that fit daily routines. Mindfulness Therapy teaches simple attention and breathing practices that reduce reactivity and improve focus; these exercises work well in short video or audio-guided segments during or between sessions.

Finding the right approach is part of the work. Michael will collaborate with each person to see which methods fit their goals, comfort level, and life demands. That might mean mixing ACT, CBT, and mindfulness tools over several visits and adjusting based on what proves helpful.

Online formats offer practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions are useful when bandwidth is limited or a camera is not preferred. Live chat and text messaging let people check in between sessions, do brief skill practice, or send notes after a difficult day. These options make it easier to keep therapy consistent while juggling work, caregiving, or health needs.