Sarah Mailhot, LICSW

How therapy approaches translate to online work

Existential therapy helps people consider meaning, responsibility, and life choices in plain terms. It can help when someone feels stuck, questions their direction, or struggles with loneliness and purpose. Acceptance and Commitment Therapy, or ACT, focuses on noticing thoughts and feelings while taking committed action toward personal values. It is useful for anxiety, depression, and managing chronic stress. Client-centered therapy prioritizes a nonjudgmental, empathetic relationship where the person’s own goals guide sessions and change grows from their pace. Finding the right approach is a collaborative process. The therapist will talk about what resonates, try strategies together, and adjust methods based on the person’s needs and goals. That teamwork helps identify whether existential reflection, ACT exercises, or client-centered pacing fits best. Online formats make it easier to keep therapy consistent. Video calls allow face-to-face conversation when visual cues help. Phone sessions work well for people with limited bandwidth or who prefer audio only. Live chat and text-based messaging offer short check-ins, quick skill practice, and flexible support between scheduled sessions. These options let people fit therapy around work, caregiving, or medical appointments while maintaining a steady course of care.