John DeCarlis, LISW, LSCSW

Approaches that guide online sessions

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and commit to small actions that match those values. It is useful for stress, anxiety, depression, and life transitions when clients want to build a more meaningful daily routine.

Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and trying new behaviors. It is practical for anxiety, panic, mood concerns, sleep issues, and managing reactions in stressful situations.

Attachment-Based Therapy looks at how early relationship patterns shape current expectations and emotional reactions. It can help people who notice repeated struggles in relationships or difficulty trusting others.

Finding the right approach is part of the process. The therapist will collaborate with each person to choose methods that match their goals, needs, and comfort level. That may mean mixing ACT, CBT, attachment ideas, or hypnotherapy techniques and adjusting over time based on what helps.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well when visual cues and a fuller conversation matter. Phone sessions can be lower-bandwidth and easier to fit into a work break. Live chat or text-based messaging can suit brief check-ins, skill practice, or when a shorter touchpoint helps maintain progress. These options make it easier to schedule sessions around family, work, or caregiving obligations while keeping therapy consistent.