Charles Bugh, LMHC

Approaches that translate well to online care

Charles often draws on Cognitive Behavioral Therapy, which helps people notice thought patterns that fuel anxiety or panic and then practice different responses. This approach is useful for phobias, panic attacks, and mood challenges because it breaks problems into clear steps.

He also uses Mindfulness Therapy to teach simple attention and breathing practices that reduce stress and build tolerance for strong feelings. Mindfulness is helpful for managing panic, intrusive thoughts, and emotional overwhelm. Motivational Interviewing appears in his work when someone is weighing change; it focuses on exploring values and building the motivation to try new behaviors.

Choosing the best approach is a collaborative process. The therapist will discuss goals, preferences, and what has helped or not helped before, then adjust methods over time. Clients and the therapist check progress and switch tactics as needed.

Online sessions include video calls, phone meetings, live chat, and text-based messaging, which offer flexibility for different days and energy levels. Video sessions support face-to-face conversation and demonstrations, phone calls work well when bandwidth is limited, and chat or text can suit brief check-ins or people who prefer not to be on camera. These options make therapy easier to fit into busy lives and to continue between in-person commitments.