James Rusk, LICSW

How different approaches shape online sessions

Existential Therapy focuses on questions of meaning, choice, and responsibility. In online sessions this approach helps people name what matters to them, understand how choices shape their life, and face uncertainty with clearer intent. It can be useful for major life changes, grief, and identity questions. Acceptance and Commitment Therapy (ACT) asks people to notice thoughts and feelings without fighting them and then take actions that match their values. In remote work this often looks like learning brief mindfulness exercises and setting small, doable goals tied to what matters most. Client-Centered Therapy centers the person's own perspective and emphasizes empathy and genuine listening. Online sessions using this approach prioritize a warm, accepting space where the person drives the agenda and the therapist mirrors understanding. Finding the right mix of approaches is part of the process. The therapist will collaborate with each person to see which ideas and techniques fit their needs, goals, and preferences. Together they will try things, notice what helps, and adjust the plan as needed. Online formats give practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions can fit into a short break and use less bandwidth. Live chat or text-based messaging supports quick check-ins, journaling prompts, or ongoing skills practice between sessions. These options make it easier to fit therapy into a busy life and try different ways of connecting with a licensed professional.