Karen Crawley-Buckholtz, MD, LCPC, LPC

Therapeutic approaches and online care

Client-centered therapy focuses on the person's own perspective. The therapist listens closely, reflects what they hear, and helps people identify their goals and strengths. This approach is useful for building trust and clarifying what matters most to someone.

Cognitive Behavioral Therapy, or CBT, teaches practical skills to change unhelpful thinking and behavior patterns. It often includes setting small goals, practicing new responses, and tracking progress, which helps with anxiety, depression, sleep problems, and stress.

Dialectical Behavior Therapy, or DBT, provides concrete skills for emotion regulation, distress tolerance, and improving communication. It can be helpful for intense emotions, relationship strain, and improving day-to-day coping.

Finding the right mix of approaches is part of the work. The therapist will collaborate with the client to choose methods that fit personal needs, goals, and preferences. This means trying things, checking what helps, and adjusting the plan together.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video calls let people use visual cues and conversation; phone sessions can fit into a short break or require less bandwidth; live chat and messaging are useful for brief check-ins or ongoing support between sessions. These formats make it easier to schedule therapy around work, caregiving, or mobility limits while keeping the focus on steady progress.