Randi Senciboy, LCSW

How these approaches work in online therapy

Client-centered therapy focuses on listening and responding to each person's needs. In practice this means starting with what matters most right now, then shaping sessions around those priorities so people feel heard and understood. Cognitive Behavioral Therapy helps people notice thought and behavior patterns that worsen anxiety or depression. Online sessions often include tracking thoughts, testing new behaviors between meetings, and using quick worksheets to try small changes in daily life. Trauma-focused therapy gives specific ways to process painful memories and reduce their hold on day-to-day functioning. In remote work this can mean gradual pacing, grounding techniques, and checking in on safety and coping skills while moving at a manageable speed. Finding the best approach is a shared process. The therapist will discuss options, listen to goals and preferences, and adjust methods over time so work stays useful and aligned with what the client wants to achieve. Online therapy offers practical flexibility. Video calls allow face-to-face conversation, phone sessions work when bandwidth is limited, and live chat or text-based messaging make brief check-ins or quick skill practice possible. These formats help fit therapy into busy schedules, allow shorter touchpoints between sessions, and provide different ways to communicate depending on comfort and need.