Trudi Carlson, LPC

Practical approaches for online change

Trudi often uses client-centered therapy to begin work by listening closely to each person’s concerns and priorities. This approach focuses on understanding where someone is and responding with empathy so goals come from the client rather than being imposed by the therapist.

She also uses cognitive behavioral therapy, which breaks problems into thoughts, feelings, and actions. CBT offers hands-on tools to change unhelpful thinking and to build routines that reduce anxiety, depression, and impulsive behaviors. Dialectical behavior therapy skills are used when emotions feel overwhelming; those skills teach distress tolerance, emotional regulation, and better interpersonal communication.

Finding the right approach is part of the process. Trudi works collaboratively to match methods to a person's needs, goals, and preferences. Together they review what helps, try techniques, and adjust the plan over time to keep progress practical and realistic.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow visual connection for skill demonstrations and guided exercises. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Chat and messaging work well for brief updates, tracking progress, and on-the-go support between meetings. These options offer flexibility so therapy can fit work, family, and daily life.