Catherine Ladd, LCSW

Practical approaches for online care

Cognitive Behavioral Therapy helps people notice patterns of thought and behavior that keep problems going, then test small changes to see what works. It is often used for anxiety, stress, and low self‑esteem by focusing on concrete skills and homework exercises.

Motivational Interviewing focuses on a person’s own reasons for change. That approach uses open conversation to build motivation and resolve mixed feelings about goals like career shifts or healthier habits.

Solution‑Focused Therapy aims at short‑term, goal‑oriented work. Sessions zero in on small, achievable steps and on what is already working so clients can build quick momentum toward their goals.

Choosing the right approach is a collaborative process. The therapist will listen to a client’s goals, try approaches that fit, and adjust based on what helps. Clients and the therapist decide together which methods to use and when to shift focus.

Online therapy offers flexibility for busy schedules. Video calls let people use visual cues and longer conversations, while phone sessions require less bandwidth and are useful for quick check‑ins. Live chat and text‑based messaging work well for short updates, ongoing coaching, or when someone prefers writing to talking. These options make it easier to fit sessions into work breaks, caregiving routines, or when travel would be difficult.