Mary Jo Ayllon, LPC, LCMHC

Practical approaches for online therapy and flexible care

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then take committed steps toward what matters. This approach can be useful for anxiety, depression, and life changes where values and action matter. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and trying different behaviors to reduce symptoms and build coping skills; it often helps with anxiety, OCD, and mood concerns. Attachment-Based ideas explore how early relationship patterns shape current connections and emotional responses, which can be useful for relationship stress, parenting struggles, and attachment issues.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their needs, goals, and preferences. That means trying practical tools, checking what helps, and adjusting the plan together as things change.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy fit into busy lives. Video is good for a full conversation and skill work, phone can be a lower-bandwidth option, and chat or text can serve for brief check-ins or notes between sessions. These options give flexibility for scheduling, quieter interactions, and different communication styles while keeping the focus on the same therapeutic goals.