Matthew Arego, LCSW

Evidence-based approaches and how they work online

Matthew uses practical, evidence-based therapeutic techniques that focus on clear skills and gradual change. One common approach focuses on teaching coping skills for stress and anxiety, such as breath work, activity scheduling, and step-by-step exposure to feared situations to reduce avoidance. These tools help people regain a sense of control over daily reactions.

Another frequently used approach targets patterns that maintain depression and addiction. It helps people notice unhelpful thinking and behavior, then try small experiments to shift routines and responses. This method is useful when someone wants concrete, measurable steps and ongoing adjustments.

Finding the right approach is part of the process. Matthew works together with each person to pick methods that match their goals, history, and comfort level. He recommends trying techniques and then adjusting them based on what helps most.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging. Video is good for full conversations and visual cues, phone sessions are helpful when bandwidth is limited, chat can be used for shorter check-ins, and messaging supports brief updates between appointments. These options add flexibility so therapy can fit into work, caregiving, or other schedules.