Anthony Vario, LCSW, LICSW

Approaches that guide online work and what they do

Existential therapy helps people look at questions of meaning, freedom, and personal responsibility. It can be useful when life changes, loss, or a sense of emptiness make someone wonder what matters most. Acceptance and Commitment Therapy, or ACT, focuses on noticing thoughts and feelings without getting stuck in them and building action around personal values; it often helps with anxiety, stress, and difficulties staying motivated. Client-Centered Therapy emphasizes a supportive, nonjudgmental relationship where the therapist listens closely and follows the client’s pace, which is helpful for building self-acceptance and emotional safety.

Finding the right approach is a joint process. The therapist will work with the client to identify goals, try techniques, and adjust methods based on what feels useful. That collaboration means therapy can shift over time toward strategies that suit the person’s needs and preferences.

Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and screen sharing for worksheets. Phone sessions work well when bandwidth is limited or a quieter audio check-in is needed. Live chat and messaging suit brief check-ins, quick skills practice, or people who prefer writing. These options give flexibility to fit therapy into a busy life while using the approaches described above in ways that make sense for each client.