Approaches that translate well to online care

Dr. Sult often uses Cognitive Behavioral Therapy, which focuses on identifying unhelpful thoughts and trying small behavior experiments to change how people feel. CBT can help with anxiety, depression, attention challenges, and problem-solving routines. She also uses Dialectical Behavior Therapy skills to teach emotional regulation, distress tolerance, and clearer interpersonal communication useful during strong emotions. Emotionally-Focused Therapy is another tool she brings to conversations about relationships and attachment, helping people notice patterns and try new ways of relating.

Choosing the right approach is a team effort. She works with each person to figure out goals and preferences, then recommends one or more methods to try. The plan can shift over time based on what helps most, and sessions include practice of skills between meetings.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people work face to face when needed, while phone calls use less bandwidth and can fit a work break. Live chat or text messaging can be useful for shorter check-ins, coaching on specific skills, or when writing feels easier than speaking. These options make it easier to fit therapy into a busy life and to keep regular momentum on goals.