Dr. Bernadine Knittel, LPC

Approaches used in online care and what they do

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck, then focus on actions that match their values. It can be useful for anxiety, life transitions, and finding direction.

Cognitive Behavioral Therapy looks at the link between thoughts, feelings, and actions, and teaches practical skills to change unhelpful patterns. It often helps with worry, low mood, and stress by building problem-solving and coping strategies.

Client-Centered Therapy creates a supportive space where the person’s own goals guide the work. The therapist listens closely and reflects what matters most to the client so they can build confidence and clarity.

Finding the right approach is part of the process. Dr. Knittel collaborates with each person to choose techniques that fit their needs, goals, and preferences. She adjusts methods over time based on what is and isn’t helpful, so the plan evolves with the client's progress.

Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and shared exercises. Phone sessions can be a good option when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let people send shorter updates or work through ideas in writing between scheduled appointments. These options make it easier to fit therapy into a busy life while using the approaches described above.