Roseanne Jackson, LCSW, LCSW-R

How therapeutic approaches translate to online care

Existential approaches focus on questions of meaning, choice, and personal responsibility. In online sessions this often looks like guided conversations about values, life priorities, and ways to find purpose during transitions or loss. Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings and still act toward the life they want. Online work using ACT includes short exercises, values clarification, and practical homework to try between meetings. Attachment-Based Therapy pays attention to relationship patterns and how early bonds shape current connections. Over video or messaging, this approach explores how attachment needs show up and practices new ways of relating to others. Finding the right approach is part of the process. The therapist will collaborate with each person to identify which methods fit their goals, needs, and preferences. Plans are adjusted as work progresses so sessions stay relevant and helpful. Online sessions offer flexibility for different schedules and life demands. Video calls are useful for face-to-face conversation and nonverbal cues. Phone sessions can be lower bandwidth and easier to fit into a break. Live chat and text-based messaging suit brief check-ins, ongoing support, or people who prefer writing instead of speaking. These options make it easier to keep therapy consistent while balancing other responsibilities.