Marika Courtney, LPCC

Approaches that guide online work

Acceptance and Commitment Therapy, often called ACT, helps people clarify what matters to them and take action toward those values even when emotions are hard. It is useful for stress, anxiety, and life changes where motivation and direction feel unclear. Cognitive Behavioral Therapy, or CBT, focuses on spotting unhelpful thinking patterns and testing new behaviors to reduce distress and improve daily functioning. CBT is often used for anxiety, stress, and coping after difficult events. Attachment-Based Therapy looks at how early connection patterns shape current relationships and boundaries, and it can help people improve trust and communication in close relationships.

Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and practical needs, then try methods that fit those goals. Together they reassess and adjust the approach as progress unfolds so the work stays relevant and practical.

Online sessions are available by video call, phone, live chat, or text-based messaging to provide flexibility. Video calls allow face-to-face conversation when a fuller interaction is helpful. Phone sessions can work when bandwidth is limited or for quick check-ins. Live chat and text are useful for brief updates, reflection, or when spacing out sessions across a busy week makes sense. These options make it easier to fit therapy into work, caregiving, or treatment schedules.