Patrick Argiro, LPC, LCPC

Therapeutic approaches that translate well online

Client-centered therapy emphasizes listening and building understanding from the client's point of view. The therapist offers empathy and asks questions that help people name their priorities and preferences, which fits well into video or messaging sessions. Cognitive Behavioral Therapy, or CBT, focuses on spotting unhelpful thinking patterns and testing small behavior changes; it works well when people want tools to manage anxiety, low mood, or stress and can be practiced between sessions. Dialectical Behavior Therapy, DBT, teaches concrete skills for emotion regulation, distress tolerance, and clearer communication, which can be delivered in short lessons and practiced via chat or phone.

Finding the right combination of approaches is a collaborative process. The therapist will talk with each person about their goals and try different tools to see what helps most. Over time the plan is adjusted based on what the person finds useful and what fits their daily life.

Online formats make it easier to fit therapy into busy schedules. Video calls provide face-to-face interaction for in-depth work, phone sessions can be a lower-bandwidth option, live chat supports quicker check-ins, and text messaging allows short reflections between meetings. These options give flexibility for steady progress while keeping therapy practical and reachable.