Seth Johnson, LCSW

How therapeutic approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people name what matters to them and take committed steps toward those values, even when worry or fear is present. It is useful for anxiety, phobias, grief, and stress that gets in the way of living a meaningful life. Cognitive Behavioral Therapy (CBT) focuses on noticing thought and behavior patterns that keep problems alive and trying small experiments to change them. CBT is commonly used for anxiety, depression, phobias, sleep and eating difficulties, and coping with life changes. Client-Centered Therapy emphasizes listening, respect, and tailoring sessions to the person in front of the therapist. This approach creates space for people to set priorities and pace the work based on their needs. Finding the right approach is part of the work. The therapist will collaborate with each person to choose or combine methods that match goals, preferences, and the issues at hand. Goals and methods can shift as progress is made. Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video is helpful for face-to-face conversation and practice work. Phone sessions can be easier when bandwidth or movement is a concern. Chat and messaging can suit brief check-ins, ongoing coaching, or people who prefer typing. These options let clients fit therapy into work, caregiving routines, or other busy schedules.