Elsbeth Riemer, LMHC, LMFT

Attachment and skills-based approaches for online care

Attachment-Based Therapy focuses on how early and current relationships shape feelings and behavior; it helps people see patterns in closeness and distance and work toward healthier connection. Client-Centered Therapy emphasizes a respectful, nonjudgmental listening stance where the therapist follows the person’s pace and priorities to build insight and confidence. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact and teaches practical strategies to change unhelpful patterns like avoidance or worry. Choosing the right approach is part of the work together. The therapist will talk with each person about goals, try methods that fit their needs, and adjust strategies based on what helps. That collaborative process means approaches may shift over time as progress and priorities change. Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging. Video calls are useful for conversational therapy that benefits from visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging are helpful for brief updates, skill practice, or when writing feels more comfortable. These options make it simpler to fit therapy into work, caregiving, or other daily routines.