Noni Kendall, LCSW

How these approaches translate to online therapy

Client-Centered Therapy centers the person’s experience and priorities. In practice this means sessions begin by asking what matters most and follow the client’s lead to set goals. It helps with general stress, family concerns, and parenting struggles by keeping the conversation focused on the client’s needs.

Cognitive Behavioral Therapy, or CBT, looks at patterns of thinking and behavior that keep problems going. Online CBT uses structured conversations and short between-session tasks to change unhelpful thoughts and try new behaviors, which is useful for anxiety, depression, and coping with life changes.

Dialectical Behavior Therapy skills teach emotion regulation, distress tolerance, and better interpersonal effectiveness. These concrete skills can be practiced in session and applied during the week to manage strong feelings and relationship conflicts.

Choosing the right approach is a collaborative process. The therapist will talk through what feels most important and try methods that match the client’s goals and preferences. Adjustments are made as progress and needs become clearer.

Online sessions are offered by video, phone, live chat, or text-based messaging to increase flexibility. Video calls let people have face-to-face conversation, while phone sessions can be easier when bandwidth is limited. Live chat or messaging work well for quick check-ins, shorter-focused work, or when typing helps someone express themselves. These options make it easier to fit therapy into work, parenting, or caregiving schedules.