William "Peter" Miller, LPC

Therapeutic approaches and online care

Peter uses cognitive behavioral therapy to identify unhelpful thoughts and habits and then teach practical steps to change them; this approach often helps with anxiety, depression, and substance use by focusing on what people can do differently day to day. He also uses client-centered therapy which emphasizes listening, understanding each person's priorities, and shaping the work around their goals; this helps people feel heard and guides collaborative problem solving. He incorporates dialectical behavior therapy skills and mindfulness practices when stronger emotion regulation or distress tolerance is needed, offering concrete tools for managing intense feelings and improving relationships.

Finding the right mix of approaches is part of the work. Peter will ask about a client's needs, goals, and typical day and then suggest strategies to try. He treats the choice of methods as collaborative and adjusts the plan based on what the client finds useful over time.

Online formats offered include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and more in-depth conversation, phone can be a simpler option when bandwidth is limited, live chat supports quick check-ins, and text messaging suits brief updates or ongoing coaching between sessions. These options make it easier to fit counseling into busy schedules and to continue work consistently over time.