Sharisse Ramos, LCSW

How online therapy fits your goals and approach

Acceptance and Commitment Therapy, or ACT, focuses on helping people clarify what matters to them and take small actions toward those values even when emotions are hard. It is useful for anxiety, low mood, and getting unstuck from avoidance. Cognitive Behavioral Therapy, CBT, looks at the connections between thoughts, feelings, and actions and uses practical exercises to change unhelpful patterns and build coping skills. It is often used for anxiety and depression. Attachment-Based Therapy examines how early relationships shape current patterns in closeness and trust and can help with abandonment worries, relationship cycles, and family stress.

Finding the right approach is a collaborative process. The therapist will talk with the client about their goals, preferences, and what has or hasn’t worked in the past. Together they try methods and adjust the plan as needed so the work fits the client’s life and priorities.

Online formats offer real flexibility. Video calls let you use face-to-face conversation for deeper emotional work, while phone sessions can be easier when bandwidth or camera use is a problem. Live chat and text-based messaging make brief check-ins and skill practice between sessions simple. These options help people fit therapy into busy schedules, manage shorter check-ins, and continue work when travel or distance would otherwise be a barrier.