Billie Jo Wagner, LCSW

Therapeutic approaches and online sessions that fit your life

Existential therapy helps people face big life questions and find personal meaning during transitions or loss. It focuses on personal responsibility, choices, and making sense of life changes when old answers no longer fit. Client-centered therapy centers on respectful listening and empathy. The therapist follows the client’s lead, offers understanding, and helps people feel heard as they work through concerns like parenting stress, low self-esteem, or grief. Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and actions connect. It offers practical exercises to change unhelpful thought patterns and build coping skills for anxiety, depression, ADHD-related challenges, and everyday stress. Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what feels most useful. Together they decide whether to use existential questions, client-centered listening, CBT tools, or a mix of methods tailored to each person. Online therapy makes these methods more accessible through flexible formats. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is low or when someone prefers not to be on camera. Live chat and text messaging are useful for shorter check-ins, quick coaching, or when clients want to work through ideas in writing. These options let clients fit therapy into busy lives and try different ways of connecting to see what helps most.