Nicole DeLuca, LCSW

Approaches that translate well to online care

Client-centered therapy focuses on listening and understanding each person's unique story. It prioritizes empathy and helps clients set goals that feel meaningful to them, which works well over video or messaging when someone needs a steady, collaborative space.

Cognitive Behavioral Therapy, or CBT, teaches practical ways to change thoughts and behaviors that fuel anxiety and depression. CBT breaks problems into clear steps and often includes simple exercises that can be assigned between online sessions for continued progress.

Dialectical Behavior Therapy, DBT, emphasizes emotion regulation, distress tolerance, and improved communication. It offers concrete skills that can be practiced in daily life and reviewed during phone or chat check-ins to reinforce learning.

Finding the right approach is part of the process. The therapist will discuss goals, preferences, and symptom patterns together, and adapt methods as needed. That collaborative planning helps ensure sessions fit how a person prefers to work and what they want to change.

Online therapy here is offered through video, phone, live chat, or text-based messaging to provide flexibility. Video calls allow richer face-to-face conversation, phone sessions can be easier when bandwidth is limited, chat is useful for quick check-ins, and text messaging supports brief updates or exercises between meetings. These options make it easier to fit therapy into a busy life and keep momentum between sessions.