Genna Lo Presti, LCSW

Attachment and ACT approaches for online therapy

Genna often uses attachment-based ideas to look at how early patterns shape current relationships. That approach focuses on recognizing how connection and trust form, and it helps people practice new ways of reaching for closeness and safety in relationships.

She also uses Acceptance and Commitment Therapy, which helps people notice painful thoughts and feelings without getting controlled by them. ACT encourages choosing actions that match personal values, which can help with anxiety, depression, and difficult life changes. Client-centered work is another part of her practice, where listening and empathy help people find their own answers and build confidence.

Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to pick methods that match their goals, needs, and preferences. That collaboration often means trying tools in session and adjusting what feels most helpful over time.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video calls allow for face-to-face conversation, phone sessions can fit into a busy day or use less bandwidth, and chat or messaging supports brief check-ins or ongoing written reflection. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on practical progress.