Luke A Tervola, LICSW

How therapeutic approaches translate to online care

Attachment-Based Therapy focuses on patterns in close relationships and how early bonds shape current connections. Online work can use this approach to look at how people relate, process feelings around attachment, and practice new ways of relating.

Acceptance and Commitment Therapy, or ACT, helps people accept difficult feelings while clarifying values and taking small steps toward them. In remote sessions ACT commonly uses exercises and short practices clients can do between contacts to notice thoughts and act on what matters.

Client-Centered Therapy emphasizes a respectful, nonjudgmental space where the client leads the conversation. Remotely this looks like active listening, reflection, and gentle guidance to help people find their own answers.

Finding the right approach is a collaborative process. The therapist will discuss goals, try methods that fit those goals, and adjust based on what helps. That means working together to pick techniques and pacing that match the person's needs and preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for fuller conversation and visual cues. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging are good for brief check-ins, skill practice, or a lower-barrier way to stay connected between longer sessions. These options make therapy more flexible and easier to fit into busy lives.