Noreen Loftus-Spilman, LISW

Approaches that translate well to online care

Client-centered therapy focuses on the client's priorities and values. In online sessions this looks like open conversation where the therapist listens and follows what matters most to the client, helping them set goals and decide what to try next.

Mindfulness therapy teaches simple attention practices and grounding skills. These techniques help with anxiety, stress, and grief and can be practiced during video or phone sessions or between meetings as short exercises.

Motivational interviewing supports people who feel uncertain about change. It uses curious questions and reflective listening to build motivation and small, doable steps forward. Finding the right approach is part of the process. The therapist will work collaboratively to pick methods that match the client's goals, needs, and comfort level, and will adjust strategies over time based on what helps most.

Online formats offer practical benefits. Video calls allow face-to-face interaction and visual cues. Phone sessions use less bandwidth and can fit into a short break. Live chat and text-based messaging are useful for brief check-ins, reviewing skills, and staying connected between longer appointments. These options make it easier to fit therapy into busy family and work schedules.