Johnnie Terrell, LCSW, LISW-CP

What approaches guide online sessions

Attachment-Based Therapy emphasizes understanding how early relationships shape current patterns. It helps people notice how attachment needs affect their reactions and relationships, and then practice new ways of relating. Acceptance and Commitment Therapy, or ACT, focuses on helping people accept difficult thoughts while taking action that reflects their values. It is useful for anxiety, depression, and getting unstuck from avoidance. Client-Centered Therapy centers the person in the room; the therapist listens without judgment and follows the client's priorities to build trust and self-direction.

Finding the right approach is a collaborative process. The therapist will talk with each person about their needs and goals, then tailor methods from these approaches to fit what feels most useful. Changes are paced to match the client's readiness and preferences rather than following a fixed formula.

Online therapy offers flexible ways to connect. Video calls let people work face-to-face when visual cues help. Phone sessions are an option when bandwidth is limited or a quieter check-in is needed. Live chat and text-based messaging provide shorter, on-the-go touchpoints or quick support between sessions. These formats make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on practical progress.