Approaches that translate well to online therapy

Randell often uses cognitive behavioral therapy, which helps people notice and change unhelpful thoughts and behaviors. CBT is useful for anxiety, depression, sleep problems, and many stress-related concerns because it breaks large problems into workable steps.

He also uses mindfulness therapy to teach simple attention and breathing practices. Mindfulness helps reduce reactivity, support better sleep, and make it easier to cope with strong emotions. Narrative therapy appears in sessions too, which involves looking at life stories and separating a person from their problems so new options become clearer.

Finding the right approach is part of the work together. Randell will talk with each person about their goals, preferences, and what feels most useful. He adjusts methods over time so the plan fits changing needs and real-life demands.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for conversational sessions and exercises that benefit from visual cues. Phone sessions require less bandwidth and can fit into a work break. Live chat and texts work well for short check-ins, coaching-style support, and when someone prefers writing over talking. These options make scheduling easier and help therapy fit into a busy life.