Teresa Mack, LPC, LMHC

Using Practical Approaches in Online Therapy

Teresa often draws on Cognitive Behavioral Therapy to help people identify thoughts that increase worry and to try new behaviors that reduce distress. CBT focuses on clear steps and homework people can do between sessions to build better habits. Dialectical Behavior Therapy offers tools for managing intense emotions through skills like mindfulness, distress tolerance, and emotion regulation; it can be especially useful for panic, overwhelming anxiety, or strong reactions. Narrative Therapy helps people look at the stories they tell about themselves and consider different, more helpful perspectives when past events are shaping present feelings.

Choosing the right approach is part of the work together. Teresa will talk with each person about goals, preferences, and what has helped or not helped in the past. She uses that conversation to try methods that fit the person, and adjusts the plan over time based on what proves useful.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video is good for fuller conversation and visual cues, phone can work when bandwidth is limited, and messaging or live chat can suit brief check-ins or days when writing feels easier. These options make it simpler to fit therapy into work, school, or family schedules and to keep progress moving forward even when life is busy.