Therapeutic approaches adapted for online care

Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and behaviors and provides practical exercises to change unhelpful patterns, often used for depression and anxiety. Attachment-Based Therapy looks at how early relationships shape current ways of relating and can help with intimacy, trust, and communication struggles.

Peggy approaches the choice of method as a collaborative process. She will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which approach or combination of approaches fits best and try concrete steps, then adjust as needed over time.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be a good option when bandwidth is limited or when a shorter check-in fits the day. Text and chat allow ongoing contact and quick reflections between sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules and let the therapist match the format to the work they are doing that week.