Approaches that translate well to online care

Client-centered therapy focuses on understanding each person's experience through active listening and open questions. Online sessions let the therapist follow the client's pace while building trust and making room for the client's priorities.

Cognitive behavioral therapy, or CBT, teaches practical skills to change unhelpful thoughts and behaviors. It works well over video or phone because homework assignments and behavioral experiments can be reviewed together between meetings.

Dialectical behavior therapy, or DBT, offers skills for managing strong emotions, improving relationships, and tolerating distress. Elements of DBT such as skills coaching and skills practice can be adapted to short messages or live chat when needed.

Sheila will collaborate with each person to choose the best approach. She listens to goals and preferences and adjusts methods as therapy progresses. Deciding together helps match treatment to what feels most useful and realistic for the client's life.

Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video is useful for face-to-face interaction and full conversations. Phone can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text work well for brief check-ins, skills coaching, or when writing is preferable. These options make scheduling more flexible and help therapy fit into busy routines.