Dr. Barbara Wasowska, MD, LCPC

Approaches and Online Options for Meaningful Change

Existential Therapy focuses on questions of meaning, choice, and responsibility. It helps people name what matters to them and make decisions that reflect their values, which can be useful during midlife changes, grief, or career shifts.

Acceptance and Commitment Therapy, or ACT, teaches skills to accept unwanted thoughts and feelings while taking action aligned with personal values. It often helps with anxiety, depression, and motivation by using concrete exercises and behavioral steps.

Attachment-Based Therapy looks at how past relationships shape current patterns. It can help people who struggle with intimacy, trust, or repeated relationship conflicts by building awareness and new ways of relating.

Finding the right blend of methods is part of the work. The therapist will collaborate to choose approaches that fit goals, comfort level, and day-to-day life. Sessions begin with a discussion of priorities and adjust over time based on what helps most.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video is useful for a full conversation, phone can be easier when bandwidth is limited, live chat works for shorter check-ins, and text messaging supports ongoing thoughts between sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules.