Thomas Floyd, MD, LCSW-C, LICSW

Therapeutic approaches for online care

Client-Centered Therapy focuses on listening and helping people feel heard so they can find their own solutions; it is useful for building confidence and talking through difficult emotions. Cognitive Behavioral Therapy (CBT) looks at how thoughts influence feelings and behavior and offers concrete techniques to change unhelpful patterns, which can help with anxiety, depression, and sleep problems. Mindfulness Therapy teaches simple awareness and breathing practices to reduce stress and improve focus, helpful for managing strong emotions and everyday worry.

Finding the right approach is a collaborative process. The therapist will work with each person to try methods that match their needs, goals, and preferences, adjusting tools and pace as therapy progresses. That collaborative planning is part of the work from the first few sessions.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for different schedules and comfort levels. Video is useful for more in-depth sessions and visual connection, phone can be easier when lower bandwidth is needed, live chat can fit quick check-ins, and messaging supports brief updates or ongoing support between longer sessions. These options make it easier to fit therapy into work, caregiving, or other daily routines.