Elena Wash, LCSW

How Elena blends approaches for online care

Elena uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and shift patterns that worsen mood or anxiety. This approach focuses on small, testable changes in thinking and behavior that can reduce distress. She also incorporates Dialectical Behavior Therapy skills to teach emotion regulation and distress tolerance. Those skills are useful when emotions feel intense or when setbacks trigger strong reactions. Somatic Therapy work helps people notice how stress shows up in the body and learn simple ways to ease physical tension. Choosing an approach is a collaborative process. Elena will talk with each person about their goals, preferences, and daily routine, and then suggest methods to try first. Together they track what helps and adjust the plan as needed. Online sessions can use video calls, phone conversations, live chat, or text-based messaging. Video is good for face-to-face conversation and practicing skills in session. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text are helpful for shorter check-ins, quick coping tools, or when people need flexibility during the day. These formats make it simpler to fit therapy into a busy life, whether juggling work breaks, medical needs, or differing schedules. Elena uses the same therapeutic tools online as she does in person, and she helps people adapt exercises to whatever session format they choose.