Carolyn Presnall, LCSW, LPC

Therapeutic approaches and how they work online

Client-Centered Therapy focuses on the client’s experience and the therapist listens carefully, reflects feelings, and helps the person make their own choices. This approach is helpful for people who want a supportive space to understand emotions and figure out next steps.

Cognitive Behavioral Therapy, or CBT, teaches practical skills to change unhelpful thinking and behavior. It works well for anxiety, depression, and stress by breaking problems into manageable steps and practicing new habits between sessions.

Emotionally-Focused Therapy looks at patterns in important relationships and helps people name emotions and try new ways of connecting. It can be useful for relationship strain and for people who want to improve how they express and regulate feelings.

Choosing an approach is a team effort. Carolyn will talk with each person about goals, preferences, and what feels most useful, then adjust methods as needed. That collaborative process means the plan can shift as concerns change.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make scheduling easier. Video is good for face-to-face conversation and visual cues. Phone can fit a shorter check-in or lower bandwidth situations. Live chat and text messaging work for brief check-ins, homework, or when written reflection helps. These options make it easier to fit therapy into busy lives and maintain continuity across changes in routine.