Therapeutic approaches adapted for online care

Roxanne uses Acceptance and Commitment Therapy (ACT) to help people notice difficult thoughts and then make choices that match their values. ACT is useful for anxiety, stress, and life transitions because it focuses on action rather than fighting every unhelpful thought.

She also draws on Cognitive Behavioral Therapy (CBT) to identify patterns of thinking that feed distress and to teach clear, practical techniques for shifting those patterns. CBT is commonly used for anxiety, depression, and coping with mood challenges.

Finding the right approach is part of the work together. Roxanne will talk through goals and preferences in early sessions and adjust which methods are emphasized based on what helps most. That collaboration means clients have a say in how therapy proceeds and can try different tools before settling on a plan.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit busy lives. Video lets people use visual cues and longer conversations, phone can be simpler when bandwidth is limited, live chat can work for short check-ins, and messaging supports ongoing reflection between appointments. These options make it easier to keep therapy consistent while balancing work, family, or school commitments.