Therapeutic approaches and online care

Vivian commonly uses Client-Centered Therapy, Cognitive Behavioral Therapy, and Trauma-Focused Therapy in online sessions. Client-centered work means she follows what matters most to the person and builds a respectful space for conversation. Cognitive Behavioral Therapy focuses on identifying thinking patterns that keep problems going and practicing new behaviors to change day-to-day life. Trauma-Focused Therapy addresses the impact of past hurts and teaches skills to reduce their hold on current functioning.

Choosing an approach is collaborative. Vivian will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide whether to focus on skills training, short-term goal work, or deeper trauma processing so the plan fits the individual’s needs.

Online formats include video calls, phone sessions, live chat, and text-based messaging to make therapy easier to fit into busy lives. Video sessions allow face-to-face interaction for teaching skills and observing nonverbal cues. Phone sessions can be useful when lower bandwidth is needed or for a quick check-in. Live chat and text messaging work well for brief updates, ongoing coaching, or shorter exchanges between scheduled visits. These options offer flexibility so people can keep progress moving even when schedules are tight.