Approaches that translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is useful for anxiety, low mood, and challenges that involve avoidance. Cognitive Behavioral Therapy (CBT) focuses on identifying thoughts and behaviors that keep problems going and practicing new, more helpful skills in everyday situations. CBT often helps with anxiety, depression, sleep, and attention-related struggles. Attachment-Based Therapy looks at how early and current relationship patterns shape feelings and behavior, and it can be helpful for intimacy and relationship concerns.

Deciding which approach to use is part of the work. Leonard will talk with each person about goals, preferences, and what has or hasn’t helped in the past. Together they decide which techniques and pacing feel right, and that plan can shift as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit therapy into busy routines. Video is good for face-to-face conversation and practicing skills together, while phone calls can work when lower bandwidth or hands-free sessions are needed. Live chat and text messaging suit quick check-ins, brief skill coaching, or people who prefer writing over speaking. These options help people access care with more scheduling flexibility and fewer travel barriers.