Maria Picciotti, LCSW

How specific approaches translate to online care

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting stuck in them and then move toward what matters in life. It is useful for anxiety, depression, and chronic stress by focusing on values and small actionable steps. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and teaches concrete strategies to change unhelpful patterns; it often helps with phobias, social anxiety, and mood problems. Dialectical Behavior Therapy, or DBT, builds skills for emotion regulation, distress tolerance, and clearer communication when feelings run high, which can be helpful for intense mood swings and relationship strain.

Finding the right approach is a team effort. The therapist will talk with the client about their goals and try methods that fit their situation. Adjustments happen as needed so the plan stays practical and relevant to real life.

Online therapy makes it easier to fit sessions into a busy schedule. Video calls let people read facial cues and hold a more traditional session, while phone sessions require less bandwidth and can be easier during a short break. Live chat and text-based messaging work well for quick check-ins, skill practice, or ongoing support between longer sessions. These options increase flexibility and help people keep therapy consistent despite changing days and commitments.