Approach choices and online session benefits

Acceptance and Commitment Therapy (ACT) focuses on identifying values and taking small actions toward them while accepting difficult thoughts and feelings. This approach can help people who feel stuck, overwhelmed by worry, or unsure how to move forward. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches concrete skills to change patterns that cause distress. CBT is often useful for anxiety, depression, sleep problems, and behavior change. Dialectical Behavior Therapy (DBT) provides tools for regulating intense emotions and tolerating crisis moments, which can help with anger, impulsive behavior, and relationship conflicts.

Mariellen treats finding the right approach as a team effort. She will talk with each person about their goals and preferences, then suggest techniques to try. Together they adjust the plan over time, mixing approaches when that fits the situation best.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging, which makes it easier to fit therapy into work, family, or medical schedules. Video is good for a full conversation and visual connection. Phone can be easier when bandwidth is limited or when someone prefers no video. Live chat and text are useful for brief check-ins, coaching-style work, and people who communicate better in writing. These options help make regular work on goals more manageable.