Elaine Hughes, LICSW, LCSW

Online approaches that focus on attachment and skills

Attachment-Based Therapy looks at how early relationships shape current patterns and helps people understand connection and trust. It can be useful for those who notice recurring relationship worries or feel uneasy around closeness. Cognitive Behavioral Therapy, or CBT, focuses on changing unhelpful thoughts and behaviors with clear exercises and practice; it often helps with anxiety, depression, and stress. Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and interpersonal skills through step-by-step tools that reduce crises and improve daily coping.

Choosing the right approach is a collaborative process. The therapist will listen to a person’s goals, try different methods when needed, and adjust the plan as progress and challenges emerge. Clients can expect a mix of talking, practical exercises, and skill-building based on what works for them.

Online therapy makes it easier to fit sessions into a busy life. Video calls allow face-to-face conversation when that matters most, phone sessions work well when bandwidth or hands-free time is needed, and live chat or text messaging offer brief check-ins and ongoing support between sessions. These options help people stay consistent with therapy while balancing work, caregiving, and health needs.