Dr. Laurie Miles, LCSW

How therapy approaches translate to online care

Attachment-Based Therapy pays attention to how early relationships shape current trust and closeness. Online sessions let clients talk through attachment wounds and practice new ways of relating in real time. Acceptance and Commitment Therapy, or ACT, helps people clarify values and take committed steps toward them while learning to accept difficult thoughts and feelings. It is useful for anxiety, depression, and patterns that block progress. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing them with practical experiments. It is often used for mood disorders, compulsions, and anxiety-driven behaviors.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals, needs, and comfort level. Sessions may combine elements from different approaches so the care fits the situation rather than forcing a single method.

Online therapy offers flexibility with video calls, phone sessions, live chat, or text-based messaging. Video is helpful for face-to-face interaction and guided exercises. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Chat and messaging allow brief updates, homework discussion, and ongoing support between sessions. These options make it simpler to fit therapy into a busy schedule and to continue work consistently.