Dr. Oren Hernández, LMHC, LMFT

Therapeutic approaches you can use online

Existential Therapy focuses on questions of meaning, choice, and responsibility. In online sessions this may look like talking through what matters to you, identifying difficult trade-offs, and deciding how you want to live on a day-to-day basis. It suits people facing major life transitions, grief, or questions about purpose.

Client-Centered Therapy places the person’s experience at the center. The therapist follows your lead, reflects what you say, and creates a steady space to untangle feelings. This approach helps when you need acceptance, clearer self-understanding, and support to make your own decisions.

Cognitive Behavioral Therapy, or CBT, targets specific thinking and behavior patterns. Online CBT often includes tracking moods, trying small experiments between sessions, and practicing new skills that reduce anxiety or depression symptoms.

Choosing the right approach is a collaborative process. The therapist will discuss goals, preferences, and day-to-day needs and then recommend which methods to try first. Many people combine approaches so sessions can shift as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for face-to-face conversation and exercises that use visual cues. Phone calls can be easier when bandwidth is low or when you want a focused check-in. Live chat and text messaging work well for brief updates, quick coaching, or when writing feels more natural. These options make scheduling flexible and let therapy fit into work, caregiving, or travel routines.