Angela Noland, LICSW, MD, LCSW-C

How her approaches translate to online therapy

Client-centered therapy puts the client's perspective first. Sessions focus on listening, reflecting, and helping people name what matters. This approach helps with stress, low self-esteem, and feeling alone by making space for honest conversation about daily struggles.

Cognitive behavioral therapy, or CBT, targets unhelpful thoughts and behaviors. In online sessions this can mean tracking thought patterns, testing small behavior changes, and practicing new skills between meetings to reduce anxiety or depression.

Mindfulness tools teach simple attention and breathing practices to reduce reactivity. These exercises are taught, practiced, and adjusted during video or phone sessions to fit each person's routine.

Choosing the right approach is part of the work. The therapist will help clients figure out which methods fit their goals and preferences. This happens as a team, with regular check-ins to see what is helping and what might need to change.

Online therapy offers practical flexibility. Video calls are useful for focused work that benefits from face-to-face interaction. Phone sessions require less bandwidth and can be easier when a client prefers not to be on camera. Live chat or text-based messaging works well for brief check-ins, notes between sessions, or people who express themselves better in writing. These options make it easier to fit therapy into busy days and different routines.