Lori Karman, LMHC, LPCC

How therapeutic approaches translate to online care

Existential Therapy invites clients to consider values, life choices, and what gives their life meaning. Online sessions can use this work to help people clarify goals and make changes that fit their own priorities. Acceptance and Commitment Therapy, or ACT, focuses on accepting difficult thoughts and feelings while taking committed action toward valued goals. It is helpful for anxiety, depression, and life transitions and translates well to conversation and exercises done between sessions. Attachment-Based Therapy looks at how early relationship patterns affect current connections and communication. This approach can help people improve boundaries and relationship skills, even when explored remotely.

Choosing the right approach is a collaborative process. Lori will work with each person to identify goals, try strategies, and notice what helps. She mixes approaches based on needs and preferences rather than sticking to a single method, and she checks in about what is working as therapy progresses.

Online therapy offers practical flexibility. Video calls allow face-to-face interaction for deeper conversation. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging are useful for brief check-ins, tracking progress, and getting shorter, more frequent support. These options make it easier to fit therapy into work, parenting, or caregiving schedules while still using proven therapeutic techniques.