Tara Hiller

Practical therapy approaches for online care

Many clients benefit from practical, skills-based approaches. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thought and behavior that contribute to distress and teaching concrete strategies to change them, which can help with anxiety, depression, panic, and mood regulation. Acceptance and Commitment Therapy (ACT) emphasizes values and committed action while teaching acceptance of difficult internal experiences, often useful for stress, life transitions, and chronic worry. Client-Centered Therapy centers the therapeutic relationship by offering empathy, nonjudgmental listening, and support so clients can explore goals and grow at their own pace.

Deciding which approach fits best is a collaborative process. The therapist works with clients to assess needs, preferences, and goals, and may integrate elements from CBT, ACT, DBT skills, and mindfulness to create a tailored plan. Clients are encouraged to give feedback so the work stays aligned with what they hope to achieve.

Online therapy formats such as video calls, phone sessions, live chat, and text-based messaging provide practical flexibility for scheduling, frequent check-ins, and continuity of care across locations within Washington. These options make it easier to access consistent support while balancing work, family, and everyday demands, and allow therapists to adapt interventions to the format that works best for each client.