Skip Dettman, LCSW

How therapeutic approaches translate to online work

Hypnotherapy here involves guided relaxation and focused attention to help people access different ways of thinking about memories, habits, or reactions; it can be used alongside talk work to address stress, cravings, or trauma-related responses. Client-Centered Therapy centers on listening, empathy, and supporting the client’s own goals; it’s useful when someone needs a steady, accepting space to sort feelings and make decisions. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and teaches specific exercises to reduce anxiety, shift mood, or change unhelpful behaviors.

Finding the right approach is part of the work. The therapist will talk with the client about goals and preferences and then try methods that fit those needs. That collaborative process means approaches can be mixed or adjusted as therapy progresses to match what helps most.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video is helpful for face-to-face conversation and guided exercises, phone calls can be easier when bandwidth is limited, chat is useful for brief check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into work, parenting, or other routines while working toward clear, practical goals.