Saskia Charles, LMHC

Using CBT, DBT, and Client-Centered Work Online

Client-centered therapy focuses on what matters to the person in front of the therapist. It emphasizes listening, acceptance, and helping the client set the pace and goals. This approach helps people who need a steady, respectful space to talk about anxiety, relationship strain, or life transitions.

Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and actions. It teaches practical tools to challenge unhelpful thinking and build new habits. CBT is often helpful for anxiety, sleep problems, and mood concerns because it gives clear exercises and homework to practice between sessions.

Dialectical behavior therapy, or DBT, offers skills for managing intense emotions and improving relationships. It includes techniques for distress tolerance, emotion regulation, and better communication. These skills can be useful for people coping with anger, strong mood swings, or patterns of risky behavior.

Finding the right approach is part of the process. Saskia works collaboratively to figure out which methods match a person’s needs, goals, and preferences. She often blends elements from several approaches and checks in with the client to refine the plan together.

Online therapy offers flexible ways to connect. Video calls are useful for a full face-to-face session. Phone sessions can fit a quick check-in or be easier when bandwidth is limited. Live chat and text-based messaging allow short updates, coaching between sessions, or ongoing support without scheduling a full call. These options make it easier to keep regular work on anxiety, coping skills, and daily routines.