Therapeutic approaches adapted for online care

Nicole blends attachment-based and client-centered approaches to guide online work. Attachment-based work focuses on how connection and trust shape reactions in relationships and helps people notice patterns in how they relate to others. Client-centered therapy centers the person's experience, using active listening and empathy to shape the pace and goals of sessions.

She also draws on Dialectical Behavior Therapy (DBT) skills to teach concrete strategies for managing intense emotions and improving communication. DBT-style skills are useful for stress, anger, self-regulation, and relationship challenges, and they translate well to remote sessions through guided practice and short exercises.

Finding the right approach is part of the process; the therapist will talk with each person about needs, goals, and preferences and then test what works best. That collaborative process can include trying mindfulness exercises, DBT skills, or attachment-focused conversations and adjusting based on what helps.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or for quick check-ins. Live chat and messaging work well for brief updates, brainstorming, or people who prefer writing over talking. These formats aim to make therapy more flexible and easier to fit into daily life.