Mary Lindsey Higgins, LCSW

Approaches that guide online sessions

Client-centered therapy focuses on the person first and adapts to how someone prefers to receive support. It helps when a client needs an approach shaped around their values, learning style, and pace rather than a fixed plan. Cognitive behavioral therapy, or CBT, helps people identify unhelpful thoughts and test new behaviors; it is useful for anxiety, depression, and coping with life changes. Mindfulness-based techniques teach simple attention and breathing skills to reduce reactivity and build calm in daily life.

Choosing the right approach is a collaborative process. The therapist will listen to the client’s goals and try methods that match those needs. If one technique isn’t working, adjustments are made together so the work stays useful and relevant.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video calls work well for longer sessions and face-to-face conversation. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging allow brief check-ins, homework planning, or ongoing support between longer sessions. These options make it simpler to schedule therapy around work, childcare, or other commitments while keeping the focus on practical progress.