David Lanzillotti, LPC

How therapeutic approaches translate to online care

David uses evidence-based therapeutic techniques that focus on practical change. One common approach centers on identifying current patterns and developing concrete coping skills to manage stress and anxiety; this involves practicing small, repeatable strategies between sessions to reduce overwhelm. Another approach emphasizes exploring attachment and relationship patterns to improve communication and reduce conflict; it helps people notice old habits and try new ways of relating that feel safer and more effective.

Choosing the right approach is a shared process. He works with each person to figure out which techniques match their goals and preferences, and he adjusts methods over time based on what’s helpful. The emphasis is on collaboration and trying realistic steps rather than fitting a single model to every situation.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video calls are useful for face-to-face conversation and richer interaction. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text messaging allow brief, frequent catches-ups and work well for people who prefer typing or need more flexible timing.