Sandra Graham , LPC, LPCC

Therapeutic Approaches for Online Care

Acceptance and Commitment Therapy, or ACT, helps people clarify their values and take practical steps toward a meaningful life while learning to accept difficult thoughts and feelings. It can be helpful for anxiety, depression, and coping with life changes. Attachment-Based Therapy focuses on understanding how early relationships shape current patterns in close relationships and aims to rebuild trust, security, and healthier connection styles. This approach can be useful for people dealing with abandonment, attachment issues, or family and relationship challenges. Cognitive Behavioral Therapy, or CBT, helps people identify and change unhelpful thinking and behavior patterns through practical skills and structured work, often benefiting anxiety, depression, and stress-related concerns.

Finding the right therapeutic approach is part of the work itself. Sandra collaborates with each person to understand their needs, goals, and preferences and helps determine which combination of approaches is likely to be most productive for their situation. This collaborative process guides how sessions are planned and which techniques are emphasized.

Online therapy offers flexibility to connect in ways that fit a busy life. Video calls can recreate face-to-face conversation, phone sessions provide a simple option when video is not possible, and live chat or text-based messaging allows for brief check-ins and ongoing support between sessions. These options make it easier to maintain consistent care, coordinate with work or family schedules, and access licensed professionals from wherever a person is located within the permitted service area.