Lisa Martucci

How therapeutic approaches shape online support

Attachment-Based Therapy looks at how early relationships affect current patterns. It helps people who struggle with trust, abandonment or repeating unhelpful relationship behaviours by exploring emotional bonds and supported ways of relating. Client-Centred Therapy places the person at the heart of the work. The therapist listens without judgement and helps the person find their own solutions and make choices that fit their values. Dialectical Behaviour Therapy, or DBT, focuses on practical skills for managing intense emotions and reducing self-destructive behaviour. It can be useful when emotional overwhelm, impulsive actions or relationship conflicts are a problem.

Choosing the right approach is part of the work together. The therapist will talk through goals, preferences and what feels most helpful, then try methods that match those needs. This is a collaborative process and adjustments are made as the person makes progress or new issues arise.

Online therapy makes these approaches accessible through video calls, phone sessions, live chat and text-based messaging. Video sessions allow face-to-face conversation and exercises that use facial cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat or messaging suits people who prefer writing, need flexible timing or want brief check-ins between sessions. These formats make it easier to fit therapy around work, family or mobility needs while keeping the same clinical approaches and collaborative planning you would expect in in-person work.