How evidence-based approaches work online

Many of Michael's methods focus on clear, teachable skills. One common approach is behavioral skills training, which teaches specific coping and relapse-prevention techniques to use when cravings or anxiety arise. This helps people practice new responses and build steady habits over time.

Another frequent method is trauma-focused work that helps reduce intense reactions to reminders of past events. That approach uses gradual exposure and learning new ways to manage stress so daily life feels less overwhelming. Both approaches aim to make problems easier to handle, not just talk about them.

Choosing the right approach is a joint process. The therapist and client review goals, try techniques, and adjust plans together. The work is collaborative, and methods are selected to match the person's needs and preferences rather than imposed from the start.

Online sessions include video calls, phone sessions, live chat, and text-based messaging, which give practical flexibility. Video is useful when visual cues matter and for deeper conversation. Phone sessions can be easier when bandwidth is limited or someone prefers not to be on camera. Live chat and text messaging allow shorter check-ins and quick skills coaching between full sessions. Together, these options help people fit therapy into busy lives.