Dr. Carlos D. Ortiz, LMHC

How therapeutic approaches translate to online care

Attachment-Based Therapy looks at how early relationships shape present patterns. Online sessions can use this approach to identify recurring relational habits and practice new ways of connecting. Acceptance and Commitment Therapy, or ACT, focuses on noticing thoughts and committing to actions that match personal values; it works well for anxiety, stress, and motivation concerns in remote sessions. Cognitive Behavioral Therapy, CBT, targets unhelpful thinking and behavior patterns and gives practical tools to test new behaviors between meetings.

Finding the right approach is part of the work. The therapist will review your goals, preferences, and what feels most helpful, then together you can try methods that fit. That collaboration makes it easier to adjust techniques as you learn what helps most.

Online therapy here includes video calls, phone sessions, live chat, and text-based messaging. Video is useful when you want face-to-face conversation and visual feedback. Phone sessions work well when bandwidth is limited or you need to fit a session into a work break. Live chat and text messaging are helpful for brief check-ins, homework support, or when writing feels easier than speaking. These options offer flexibility so therapy can fit into a busy life.