Debra Aquino, LCSW

How these approaches work online

Client-Centered Therapy focuses on listening and understanding the person's experience. The therapist follows the client's lead, reflects feelings, and helps people clarify what they want to change. This approach is useful when someone needs support to sort through parenting decisions, relationship stress, or low self-esteem.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. It breaks problems into small steps and teaches practical techniques to shift unhelpful thinking and behavior. CBT is often helpful for anxiety, depression, ADHD-related routines, and managing stress.

Mindfulness Therapy brings attention to the present moment through short practices and breathing exercises. It helps reduce reactivity and create space for different responses when parenting feels overwhelming or emotions run high.

Finding the right approach is a collaborative process. The therapist will discuss goals, try techniques, and adjust the plan based on what works for the client. Clients and the therapist decide together which methods fit best for the problem at hand.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make scheduling easier. Video sessions allow face-to-face conversation for deeper interaction, while phone calls require less bandwidth. Live chat and text messaging are useful for quick check-ins or when someone prefers shorter, written exchanges. These options make it simpler to fit therapy into a busy parenting schedule and to continue work between sessions.