Naomi Smith, LCSW, LMSW

Therapeutic approaches that fit online care

Client-centered therapy focuses on the client's goals and values. It gives people space to set their own pace and decide which steps feel right. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors link together and teaches practical techniques to change unhelpful patterns. Dialectical Behavior Therapy, or DBT, builds skills for managing strong emotions, tolerating distress, and improving communication.

Choosing the best approach is a team effort. Naomi will talk with each person about their needs, preferences, and goals and suggest which methods to try first. She adjusts techniques over time so the work stays useful and realistic for daily life.

Online formats here include video calls, phone sessions, live chat, and text-based messaging, so people can pick what fits their routine. Video calls work well for in-depth conversation and visual cues, phone sessions can be simpler when bandwidth is limited, live chat suits shorter check-ins, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into busy schedules, maintain frequent contact during challenging times, and use approaches like CBT and DBT in ways that match each person’s pace and comfort.