Melanie Bartholomew, LMHC

Approaches that translate well to online care

Client-centered therapy focuses on the client's experience and priorities, offering a respectful, nonjudgmental space to talk through concerns and set personal goals. This approach helps people clarify what matters most and guides the conversation toward steps that feel achievable.

Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and behaviors interact and teaches practical strategies to reduce anxiety and depression. CBT works well for issues like panic attacks, sleep disruption, and patterns of negative thinking because it emphasizes clear skills and homework between sessions.

Dialectical behavior therapy, or DBT, provides tools for emotional regulation, distress tolerance, and interpersonal effectiveness. DBT skills can be useful for managing intense emotions, improving relationships, and reducing reactive behaviors.

Finding the right mix of approaches is part of the work. The therapist will collaborate with the client to choose methods that match goals, needs, and preferences. That process often begins by trying practical skills, checking what helps, and adjusting the plan together.

Online sessions allow the same therapeutic work without commuting. Video calls let people maintain visual connection for deep conversations. Phone sessions can be easier when bandwidth or camera use is limited. Live chat and text-based messaging offer brief check-ins and flexible support between longer sessions. These options make therapy more adaptable to busy schedules and life demands.