Stephen Carenza, LCSW

Therapeutic approaches for online anxiety and life stress

CBT, or cognitive behavioral therapy, focuses on identifying and changing unhelpful thoughts and behaviors. It is often used for anxiety, depression, sleep problems, and impulse control by teaching practical coping skills and behavior experiments. Psychodynamic therapy looks at recurring emotional patterns that come from past relationships and experiences. It helps people understand why they react a certain way and how early attachments shape current choices, which can be useful for relationship issues, abandonment concerns, and feelings of emptiness. Solution-focused therapy zeroes in on small, achievable goals and skills that produce quick, visible change. It is commonly used when people want short-term direction for parenting challenges, relationship strain, or day-to-day stress management. Finding the best approach is a shared process. The therapist will discuss goals, try techniques, and adjust methods based on what feels most helpful. Clients and the therapist collaborate to pick short-term steps and review progress together. Online sessions include video calls, phone sessions, live chat, and text-based messaging. Video calls let you work face to face while phone sessions use less bandwidth and can fit into a break at work. Live chat and text messaging are useful for quick check-ins, ongoing coaching-style support, or when typing feels easier than speaking. These options make it easier to fit therapy into a busy life and keep consistent progress.