Robert Pedevillano, LPC

Therapeutic approaches adapted for online care

Client-centered therapy focuses on understanding each person’s experience and building a collaborative relationship that supports self-directed change; it helps people clarify values and set realistic, personally meaningful goals. Cognitive behavioral therapy (CBT) emphasizes identifying and changing unhelpful thoughts and behaviors to reduce symptoms like anxiety, depression, and sleep problems, and it lends itself to practical exercises that transfer well to remote sessions. Dialectical behavior therapy (DBT) teaches skills in emotion regulation, distress tolerance, and interpersonal effectiveness, which can be useful for managing impulsivity, intense emotions, and relationship difficulties.

Finding the most helpful approach is part of the work together. The therapist will assess needs, listen to goals and preferences, and adapt techniques from these methods in a collaborative way so the plan aligns with what the client wants to accomplish.

Online formats such as video calls, phone sessions, live chat, or text-based messaging provide flexibility for scheduling and for choosing modes that fit a person’s daily life and comfort level. These options make it possible to continue consistent work when session timing, travel, or location would otherwise be barriers, while still allowing therapists to use skill-building exercises, cognitive techniques, and narrative exploration during remote sessions.