Elizabeth "Liz" Gray, LSCSW

How attachment and ACT work in online therapy

Elizabeth blends attachment-based ideas with Acceptance and Commitment Therapy and client-centered listening. Attachment-based therapy looks at how early relationship patterns affect current connections and coping, and it helps people notice and change repeating patterns in how they relate. Acceptance and Commitment Therapy, or ACT, focuses on clarifying what matters to someone and taking small steps toward those values while learning to sit with difficult thoughts and feelings. Client-centered work prioritizes the person's perspective and builds a supportive, nonjudgmental space for conversations.

Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, concerns, and preferences, then try methods that fit those needs. They adjust pace and techniques together, mixing skills practice with processing when that feels appropriate.

Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to match different days and needs. Video is useful for deeper conversation and visual cues, phone calls can be easier with limited bandwidth, and text or chat can work for short check-ins or when typing feels more comfortable. These options make it easier to keep therapy consistent around work, childcare, or travel and help people use the approaches suggested in real time.