Deborah Gaudet, LPCC

How therapeutic approaches adapt to online care

Existential Therapy focuses on questions of meaning, choice, and personal values. In online sessions this approach helps people talk through life transitions, grief, and feelings of emptiness or confusion by clarifying what matters to them and what choices feel authentic.

Attachment-Based Therapy looks at how past relationships shape current patterns. In remote work this approach helps people notice how they relate to others, how they handle closeness or distance, and how to build more supported ways of connecting with people in their lives.

Finding the right approach is part of the work. The therapist will collaborate with the client to pick methods that fit their goals, history, and comfort level. That might mean combining existential questions about meaning with practical CBT-style steps or attachment-focused ways of relating.

Online sessions can use video calls, phone sessions, live chat, or text-based messaging. Video lets people see facial cues and hold deeper conversations. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Chat and text work well for ongoing reflection between sessions or when writing helps process emotions. These options make it easier to fit therapy into busy lives and to keep continuity across moves or travel.