Lia Bigelow

Evidence-Informed Approaches for Online Care

Many clients benefit from structured, skills-oriented work, and Lia frequently uses Cognitive Behavioral Therapy to help identify unhelpful thinking patterns and develop practical coping strategies for issues such as anxiety, addiction, and anger. Client-Centered Therapy complements that approach by centering the client’s experience, offering empathic listening and collaboration to shape goals and pace of change. Dialectical Behavior Therapy adds focused skills training in emotion regulation, distress tolerance, and interpersonal effectiveness when strong emotions and impulsivity are central concerns.

Choosing the right approach is a collaborative process. Lia works with clients to explore which methods fit their goals, needs, and preferences, adjusting techniques over time so therapy remains relevant and helpful rather than prescriptive.

Online sessions include video calls, phone appointments, live chat, and text-based messaging to provide flexibility for different schedules and communication styles. These options make it easier to maintain continuity of care, access support from home or work, and integrate therapeutic work into daily life while working together toward clearer goals and healthier coping.