Yvette Lanausse, LCSW

Approaches that fit online care

Client-centered therapy focuses on the person in front of the therapist and on what matters most to them; it involves attentive listening and reflecting back concerns so goals become clearer. Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors affect mood and teaches concrete skills to change patterns, which can be practiced between sessions to build new habits. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and improve tolerance for difficult emotions, and it pairs well with CBT when managing stress, anxiety, or chronic pain.

Choosing the right approach is a collaborative process. The therapist will talk with the client about needs, goals, and preferences and then suggest methods to try. Plans are revisited over time so techniques can be adjusted if something isn’t working well for the person.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which allow flexibility for different days and energy levels. Video is useful for deeper conversation and visual cues. Phone calls can work when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are helpful for brief check-ins, skill reminders, or for people who prefer typing to speaking. These options make ongoing therapy easier to fit into work, caregiving, or treatment schedules.