Carrie Bican, LMFT

Therapeutic approaches and how they work online

Attachment-based work focuses on relationships and safety in close connections. It helps people understand patterns in how they relate to others and can be useful when parenting stress or family dynamics feel overwhelming. Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep problems going and teaches specific exercises to change those patterns, often helping with anxiety, depression, and sleep. Dialectical Behavior Therapy, or DBT, emphasizes emotion regulation, distress tolerance, and improved communication skills, which can be helpful for managing strong reactions and improving coping. Finding the right mix of approaches is part of the process. Carrie treats therapy as a collaboration and will help determine which methods fit a client's needs, goals, and preferences. Together they try tools, check what helps, and adjust the plan over time rather than sticking to one fixed method. Online sessions offer practical flexibility. Video calls allow face-to-face conversation when visual cues matter. Phone sessions are useful when internet bandwidth is limited or a quick check-in is needed. Live chat and text-based messaging make it easier to fit shorter exchanges into a busy day, follow up between sessions, or process things in writing. These options help clients maintain continuity while juggling parenting, work, and daily life.