Sandra Miramontes, LMFT

Approaches that translate well to online care

Attachment-Based Therapy helps people see how early bonds shape current relationships and trust. Online sessions can use that work to notice patterns, practice new ways of relating, and repair connection over time. Acceptance and Commitment Therapy, or ACT, teaches people to notice painful thoughts without getting swept away and to commit to actions aligned with their values. It often helps with anxiety, stress, and life transitions through short exercises and values-based goals. Cognitive Behavioral Therapy, CBT, breaks problems into thoughts, feelings, and behaviors so people can test unhelpful beliefs and try new behaviors that produce different results.

Finding the right approach is part of therapy. The therapist will work collaboratively to choose methods that fit the client's needs, goals, and preferences. That means trying techniques, checking what helps, and adjusting the plan together rather than assuming one path up front.

Online therapy offers flexible ways to meet. Video calls let people use visual cues and role-play interactions. Phone sessions can be simpler when bandwidth is limited or for brief check-ins. Live chat and text messaging support shorter updates, reminders, or skills practice between sessions. These options make it easier to fit therapy into a busy life and to keep momentum when schedules change.