Nicholas Sanfilipo, LPCC

Approaches that translate to online care

Client-centered therapy emphasizes understanding each person's perspective and building on their strengths. In practice this looks like the therapist listening closely, reflecting what is said, and helping people set their own goals; it is useful for parenting stress, relationship strain, and identity concerns.

Cognitive behavioral therapy, or CBT, focuses on spotting unhelpful thoughts and testing new behaviors. Short exercises and thought records help reduce anxiety and depressive patterns and can be practiced between sessions for steady progress.

Mindfulness therapy teaches simple attention and breathing practices to calm stress and improve focus. These short exercises can be used when anxiety rises or when someone needs a quick reset during a busy day.

Finding the right approach is part of the work. Nicholas will collaborate with each person to choose methods that fit their goals, pace, and preferences. He adjusts techniques over time based on what helps most.

Online formats offer practical benefits. Video calls allow face-to-face conversation and screen-sharing of worksheets. Phone sessions need less bandwidth and can fit a short break at work. Live chat or text-based messaging make it easier to check in between appointments or when writing feels clearer. These options provide flexibility to match therapy to a client's life and schedule.