Evidence-based approaches for online care

Dr. Thomas uses evidence-based techniques to help people manage symptoms and daily challenges. One approach focuses on teaching concrete coping skills for stress and anxiety, such as breathing, grounding, and problem-solving steps to reduce overwhelming feelings. Another commonly used method helps people process difficult emotions and experiences related to trauma, grief, or relationship hurts by pacing conversations and building tolerance for strong feelings.

Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what has or has not worked in the past, then recommend strategies to try. That shared decision-making helps tailor sessions so they match a client's needs and pace.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video sessions are good for face-to-face conversation and visual cues. Phone sessions can fit into a busy day or require less bandwidth. Chat and messaging are useful for brief check-ins, journaling-style reflections, or when someone prefers written communication. These formats make it easier to access therapy from different locations and schedules.