Dr. Lucy Parker-Barnes, LMHC, LCPC

Practical therapy approaches adapted for online care

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and then choose actions that align with their values. It is useful for anxiety, depression, and coping with life changes. Client-Centered Therapy focuses on understanding a person without judgment, and creating a steady, accepting space to talk through difficult feelings. That approach supports self-esteem and grief work. Cognitive Behavioral Therapy (CBT) breaks down problems into thoughts, feelings, and behaviors, and teaches concrete skills to change patterns that cause distress. It often helps with anxiety, mood, and stress.

Finding the right approach usually happens together. The therapist will talk with each person about their goals, try methods that fit those goals, and adjust as needed. This collaborative process helps clients know why a technique is being used and how it connects to their real-life aims.

Online therapy offers flexible ways to connect using video calls, phone sessions, live chat, or text-based messaging. Video is useful for longer sessions and face-to-face interaction. Phone sessions work when bandwidth is limited or for shorter check-ins. Live chat and text messaging support brief updates, skill practice, and people who prefer writing. Together these options make it easier to schedule care around work, caregiving, or travel without losing continuity of support.