Approaches that translate to online therapy

Dr. Willey uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors; CBT often includes practical exercises and homework to reduce anxiety, depression, and problematic eating or substance use. Dialectical Behavior Therapy focuses on managing intense emotions and improving coping skills through skills training in areas like distress tolerance, emotional regulation, and interpersonal effectiveness. Somatic therapy attends to body sensations and how trauma can show up physically, using simple body-focused exercises to release tension and reduce reactivity.

Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, past attempts, and what feels most useful. Together they can adjust methods over time, mixing CBT, DBT, or somatic work to match the person's needs and preferences.

Online formats offer practical flexibility for ongoing work. Video calls allow face-to-face conversation and guided exercises, phone sessions suit shorter check-ins or lower bandwidth situations, and live chat or text messaging are useful for brief check-ins, homework prompts, or when someone prefers not to be on camera. These options make it easier to fit therapy into a busy life while keeping continuity of care.