Therapeutic approaches that translate well to online care

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small actions that reflect those values. It helps people who feel stuck move toward what matters to them despite difficult thoughts or feelings. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior and teaches practical tools to change unhelpful habits. It is often used for anxiety, depression, sleep problems, and mood regulation. Motivational Interviewing helps people find their own reasons to change by exploring ambivalence and building internal motivation; it can be useful for addiction and readiness-related concerns.

Finding the right approach is part of the work together. Paula will talk with each person about their goals, preferences, and what has or hasn’t helped before. She uses those conversations to choose or combine approaches so the plan fits the person, not the other way around.

Online sessions are available by video, phone, live chat, or text-based messaging to provide flexibility. Video works well for in-depth conversations and visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and messaging are useful for brief updates, coaching-style guidance, or for people who prefer writing. These options make it easier to fit therapy into a busy life and maintain momentum between sessions.