Dr. Debra Brown, LCSW, CSW

Therapeutic approaches and online options

Dr. Brown uses approaches that focus on both thought patterns and emotional connection. Cognitive Behavioral Therapy (CBT) looks at how thoughts influence feelings and actions and teaches practical skills to change unhelpful patterns; it can help with anxiety, depression, and sleep or eating problems. Acceptance and Commitment Therapy (ACT) emphasizes learning to accept difficult feelings while choosing actions that match personal values; this approach can help with stress, chronic illness, and coping with life changes. Attachment-Based Therapy attends to how early relationship patterns shape current intimacy and trust, and it can be useful when people struggle with closeness or fear of abandonment.

Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what feels useful. That collaboration guides whether the focus shifts toward skills training, acceptance work, or exploring attachment patterns.

Online therapy offers flexible ways to meet that fit different routines. Video calls are close to in-person sessions and allow face-to-face interaction. Phone sessions can work when bandwidth is low or when someone prefers not to use video. Live chat and text-based messaging are useful for brief check-ins, coaching, or ongoing support between longer sessions. These options make it easier to schedule care around work, caregiving, or travel while keeping therapy consistent and practical.