Approaches that translate well to online therapy

Donna often uses Acceptance and Commitment Therapy, which helps people clarify their values and take small steps toward a meaningful life while accepting uncomfortable feelings. It can be useful for anxiety, stress, and managing ADHD-related challenges like getting stuck on tasks.

She also uses Cognitive Behavioral Therapy, a hands-on approach that identifies unhelpful thinking patterns and tests practical behavior changes. CBT is commonly used for depression, anxiety, sleep issues, and building routines that support daily functioning.

Finding the right mix of approaches is a collaborative process. The therapist will work with each person to choose methods that fit their goals, preferences, and day-to-day constraints rather than imposing a single way of working.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different needs. Video calls allow face-to-face interaction for skills practice, phone sessions can use less bandwidth and be easier to fit into a work break, and messaging or live chat work well for brief check-ins, homework, or coaching-style support. These options help people keep therapy consistent while fitting it into busy schedules.