Sheila Cano, LPCC

Therapeutic approaches applied to online care

Sheila blends attachment-based ideas with Acceptance and Commitment Therapy and client-centered ways of working when offering online therapy. Attachment-based work looks at how early relationship patterns influence current emotions and relationship habits, which can help with issues like abandonment, attachment concerns, codependency, and communication problems. Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings while identifying personal values and taking meaningful action toward them, which can help with anxiety, depression, and coping with life changes. Client-centered therapy emphasizes a respectful, nonjudgmental stance where the therapist listens deeply and follows each person's pace and priorities.

Choosing the right approach is a collaborative process. Sheila will talk with each person about their goals, preferences, and what has or has not worked before, and then help decide which methods to try. She adapts techniques over time so sessions stay useful and relevant to the work a person wants to do.

Online formats include video calls, phone sessions, live chat, and text-based messaging to match different needs. Video calls allow face-to-face conversation for deeper interaction. Phone sessions can fit into a tight schedule or use less bandwidth. Live chat and text messaging offer shorter check-ins, flexibility across the day, and an option for people who prefer writing over speaking. These formats make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on practical progress.