Dr. Rebecca Miller-Moe, OR Psychologist

How therapeutic approaches translate to online care

Attachment-Based Therapy looks at how patterns in close relationships affect current feelings and behavior. Online sessions can help people notice those patterns, try new ways of relating, and repair trust in connections. Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed action even when emotions are hard. It uses simple exercises and real-life experiments to build a meaningful direction for daily life. Client-Centered Therapy emphasizes a supportive, nonjudgmental relationship where the person leads the pace and topics of work. Finding the right approach is part of the process. The therapist works collaboratively to choose methods that match a person's goals, needs, and preferences. That may mean blending ideas from attachment work, ACT, and client-centered listening, then adjusting as progress is made. Online therapy offers practical flexibility. Video calls let people use visual cues and practice interpersonal skills in real time. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging work well for brief check-ins, tracking progress, or fitting support into a busy day. These formats make it easier to keep consistent momentum and to fit sessions into everyday life.