Kylie Liddle, LMHC

Online therapy approaches and what they look like

Client-centered therapy focuses on listening and understanding. The therapist follows the person’s lead, reflects concerns, and helps people notice their own strengths and choices. This approach can help when someone needs acceptance and a steady space to talk through difficult feelings.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. It involves identifying unhelpful thinking patterns and practicing different behaviors. CBT is often used for anxiety, depression, stress, and mood regulation because it gives concrete tools to try between sessions.

Dialectical Behavior Therapy, or DBT, teaches specific skills for managing intense emotions and improving relationships. It includes techniques for distress tolerance, emotional regulation, and clearer communication. These skills can help when emotions feel overwhelming or reactions cause problems in daily life.

Choosing the right approach is a team effort. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for in-depth conversations and skill coaching. Phone sessions can work when bandwidth is limited or a quieter check-in is needed. Live chat and messaging are handy for brief check-ins, tracking mood, or when someone prefers writing to talking. These options make therapy easier to fit around work, school, or caregiving responsibilities.