James Dion, LCMHC

How his approaches translate to online therapy

Attachment-Based Therapy looks at how early relationship patterns affect current connections and self-view. Online sessions can use this approach to notice familiar interaction styles and practice new ways of relating during conversation. Cognitive Behavioral Therapy, or CBT, helps people spot the thoughts and behaviors that keep problems going and then try small experiments to change them. It works well in video or phone sessions where specific skills and homework can be reviewed together. Emotionally-Focused Therapy focuses on identifying and naming strong emotions and then using that awareness to change how people respond to one another; it can be useful when someone is struggling with intimacy or repeated relationship patterns.

Choosing the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what feels most helpful. They plan sessions together and adjust methods if something isn’t working well, so therapy stays practical and collaborative.

Online therapy offers practical flexibility. Video calls let people read facial expression and body language. Phone sessions work well when bandwidth is low or when someone prefers not to be on camera. Live chat and text messaging are useful for short check-ins, skill reminders, or when someone needs more frequent support between longer sessions. These options make it easier to fit therapy around work, caregiving, and travel.