Approaches that guide online sessions

Client-Centered Therapy focuses on understanding each person from their own point of view. The therapist listens carefully, reflects what she hears, and helps people make choices that match their values and goals. This approach is useful for people dealing with relationship worries, grief, or feeling overwhelmed.

Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions. Sessions involve identifying unhelpful thinking patterns and practicing small behavior changes that reduce anxiety, improve sleep, or manage mood swings. Mindfulness Therapy adds short attention practices and grounding exercises to reduce reactivity and increase calm when stress or impulsivity arise.

Finding the right mix of approaches is part of the work. Roxanna will collaborate with each person to choose methods that match their needs, goals, and comfort level. She starts by listening and then adjusts tools based on what helps in real life.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for deeper conversation and face-to-face connection, phone sessions can fit a busy day or lower bandwidth situations, and chat or messaging support quick check-ins or ongoing notes between sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping care consistent and accessible.