Amy Appino

Using evidence-based approaches in online therapy

CBT helps people notice how thoughts, feelings, and behaviors interact and teaches practical techniques for changing unhelpful thinking and behavioral patterns; it is often used for anxiety, depression, ADHD-related difficulties, and stress management. ACT focuses on helping people clarify values, accept difficult internal experiences, and commit to meaningful actions, which can be useful for coping with life transitions and chronic emotional pain. DBT offers skills for emotion regulation, distress tolerance, and improving relationships, and it can be helpful for intense emotions, interpersonal conflicts, and some addiction-related struggles.

Choosing the right approach is a collaborative process. The therapist works with clients to explore their goals, preferences, and daily realities and then tailors a mix of methods to fit those needs rather than prescribing a single technique. This partnership helps ensure the work is relevant and practical for each person.

Online sessions are available as video calls, phone conversations, live chat, or text-based messaging, providing flexibility for scheduling and for people who prefer different communication styles. These formats make it easier to fit therapy into busy lives and to keep continuity of care when in-person options are limited, while allowing therapists to use CBT, ACT, DBT, and mindfulness strategies effectively in a virtual setting.