Eve Marcus, LCSW, CSW

Approaches that guide online care

Acceptance and Commitment Therapy (ACT) helps people identify their core values and take small steps toward a life that feels meaningful, even when difficult thoughts and feelings are present. It is useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting thought and behavior patterns that cause distress and practicing concrete skills to change them, which helps with anxiety, mood, and sleep problems. Attachment-Based Therapy looks at how early relationship patterns shape current connections and communication, which can help with intimacy issues and relationship stress.

Finding the right approach is part of the work. The therapist will discuss goals, preferences, and what has helped or not helped before. Together they decide which methods to try and adjust them over time based on what feels useful to the client.

Online therapy offers flexible ways to fit support into busy lives. Video calls let clients see nonverbal cues and practice interpersonal skills. Phone sessions can be shorter check-ins or an option when bandwidth is limited. Live chat and text messaging work for brief updates, skill coaching, or when writing feels easier than speaking. These formats make it easier to keep continuity of care across schedules and locations, while letting the therapist and client focus on practical tools and progress.