Naomi Durand-Kabasela, MD, LCPC, LPC

Therapeutic approaches and how they translate to online care

Client-Centered Therapy focuses on listening and following the client's priorities. In practice Naomi uses this approach to create a conversation shaped by what the person most needs to talk about and decide on next steps. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions and teaches practical exercises to shift patterns that cause distress. It can help with anxiety, depression, sleep issues, and unhelpful habits. Dialectical Behavior Therapy, or DBT, adds skills for handling intense emotions and improving self-regulation, which is useful for anger, mood instability, and stress-related crises.

Finding the right approach is part of the work together. Naomi will discuss what feels most helpful and adjust methods based on the client's goals, strengths, and preferences. That collaborative process guides whether sessions emphasize skills practice, reflective exploration, or a mix of both.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and shared visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in fits the schedule. Live chat and text can support brief updates, coaching-style feedback, or ongoing reminders between longer appointments. These options make it easier to fit therapy into workdays, caregiving routines, or health-related limitations while keeping the focus on practical skills and steady progress.