Myles Machado, LCSW

How Myles' approaches work online

Client-Centered Therapy focuses on creating an accepting, respectful environment where people can tell their story and feel heard; it helps when someone needs a stable space to sort through feelings and options. Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior that keep problems going and teaches concrete skills to change those patterns and reduce symptoms like anxiety or low mood. Dialectical Behavior Therapy, known as DBT, offers practical skills for regulating strong emotions, managing impulsive urges, and improving interpersonal effectiveness, which can be helpful for intense stress or relationship struggles.

Myles treats finding the right approach as a collaborative process. He will talk with each person about their needs, goals, and preferences and then combine methods that make sense for them. Adjustments are common as therapy progresses so the plan stays aligned with what actually helps.

Online formats - video calls, phone sessions, live chat, and text-based messaging - make it easier to fit therapy into busy schedules and different lifestyles. Video is useful for longer sessions and face-to-face interaction. Phone sessions can work when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging suit brief check-ins, ongoing encouragement, or days when writing feels easier than talking. These options give flexibility while keeping the focus on practical skill-building and steady progress.