Rev. Jessica Conti, LMHC

Therapeutic approaches adapted for online care

Existential therapy helps people face life’s big questions about purpose, loss, and change in clear, honest conversation. It can be useful when someone feels empty, unsure, or is coping with major life transitions. Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking small, committed actions even when difficult thoughts or feelings are present; it often helps with anxiety, depression, and stress by teaching practical skills for daily life.

Client-centered therapy centers the person’s experience and aims to create a space where they feel heard and respected. This approach supports emotional processing and can be especially helpful for people dealing with grief, attachment wounds, or self-esteem concerns. Together these approaches allow exploration of meaning while building concrete coping tools in session.

Finding the right mix of methods is part of the work. The therapist will collaborate with each person to choose approaches that match their goals, preferences, and immediate needs. Sessions often shift over time as priorities change, and clients are invited to give feedback on what feels most helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth conversations and exercises that benefit from face-to-face contact. Phone sessions require less bandwidth and can fit into a short break. Live chat and messaging make it easier to check in between meetings or to use brief written reflections. These options aim to make therapy more flexible and easier to fit into busy lives.