B. Winnifred Cazeau, LICSW, MD, LCSW-C

Therapeutic approaches and how they translate to online care

Acceptance and Commitment Therapy (ACT) helps clients clarify what matters most to them and take committed action toward those values while learning to accept difficult thoughts and feelings. This approach can be useful for people facing life transitions, persistent low mood, or challenges with motivation and focus. Cognitive Behavioral Therapy (CBT) focuses on identifying and testing unhelpful thoughts and behaviors and replacing them with more adaptive patterns; it is commonly used for depression, anxiety, and mood-related concerns and can support practical coping skills for attention and concentration. Motivational Interviewing is a collaborative conversational style that strengthens a person’s own motivation to change and can be helpful when clients are weighing options or feeling ambivalent about next steps.

Finding the right approach is part of the therapeutic process, and the therapist works together with clients to select or combine methods based on individual needs, goals, and preferences. This collaborative decision making helps tailor sessions so that the work feels relevant and actionable for each person.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for scheduling and communication style. These formats make it easier to maintain continuity of care across busy schedules and to access support from home or other convenient locations while working with licensed professionals who guide the process.