Esther Robinson, MD, LCPC, LPC

How Esther’s Approaches Work Online

Client-Centered Therapy emphasizes listening and building a treatment plan around each person’s priorities. In practice this means sessions begin with what the client wants to change and the therapist follows their lead to set goals and next steps.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings and actions. It teaches simple exercises to test unhelpful thoughts and to try new behaviors that reduce anxiety, panic, or low mood.

Dialectical Behavior Therapy, DBT, offers concrete skills for managing intense emotions and improving relationships. It includes skills for distress tolerance, emotion regulation, and clearer communication, which can help with impulsive behavior and anger.

Choosing the right approach is part of the work together. The therapist will talk through goals, try techniques, and adjust the plan based on what helps most. That collaborative process makes it easier to find methods that fit a person’s life and preferences.

Online therapy with video calls, phone sessions, live chat, or text-based messaging gives practical flexibility. Video is helpful for face-to-face conversation and teaching skills visually. Phone sessions can fit into a short break or when bandwidth is limited. Live chat and text messaging let people check in between sessions or use shorter, more frequent touches when that fits their routine.