Charles Orwig, LCSW

How therapeutic approaches and online sessions fit together

Charles commonly uses Acceptance and Commitment Therapy, Client-Centered Therapy, and Cognitive Behavioral Therapy. Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings while choosing actions that match their values; it can be helpful for anxiety, stress, and life-direction work. Client-Centered Therapy focuses on empathetic listening and creating a trusting space so clients can find their own answers and build self-understanding. Cognitive Behavioral Therapy (CBT) teaches practical skills to change unhelpful thinking and behavior patterns, which often helps with depression and anxiety.

Finding the right approach is part of the work. The therapist will talk with the client about needs, goals, and preferences and then try methods that seem most helpful. Decisions are made together and adjusted as progress is reviewed.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video is useful for full conversations and visual cues, phone sessions work well when bandwidth is limited, live chat can allow quicker check-ins, and text messaging helps with brief updates or ongoing support between sessions. These options make it easier to fit therapy into busy schedules and to keep regular momentum toward goals.