Sandra Musielewicz, LCSW

Therapeutic approaches adapted for online care

Acceptance and Commitment Therapy (ACT) helps people clarify personal values and take action toward meaningful goals while accepting difficult feelings. It is useful for anxiety, stress, and challenges where avoidance gets in the way of valued living. Cognitive Behavioral Therapy (CBT) focuses on identifying and modifying unhelpful thought and behavior patterns to reduce symptoms and build practical coping skills; it is often applied for depression, anxiety, and sleep disturbances. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness skills; this approach can be helpful for intense emotions, anger management, and improving self-control.

Finding the right approach is part of the therapeutic process and is decided collaboratively. The therapist works with each person to weigh goals, preferences, and presenting concerns and then blends techniques from these models so that interventions fit the client’s needs and pace.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to schedule sessions around work, caregiving, or geographic constraints. These formats allow ongoing skill practice, check-ins between sessions, and continuity of care while supporting access for international clients and those who prefer remote options.