Lara Kelso, LPC

Approaches that guide online sessions

Attachment‑based work looks at how early relationships shape expectations and reactions in close relationships. It helps people who notice repeated patterns of distance, worry, or difficulty trusting others to understand those patterns and try new ways of connecting. Cognitive behavioral therapy, or CBT, focuses on the link between thoughts, feelings, and actions. It teaches concrete skills to identify unhelpful thinking, test those thoughts, and practice different behaviors to reduce anxiety, depression, and stress. Narrative therapy invites people to tell and reshape their life stories so problems feel less defining. It can be useful when someone wants to rethink identity, role changes, or the meaning of difficult events. Choosing an approach is a team effort. The therapist will talk with the person about goals and preferences and then try methods that fit those needs. Sessions can shift over time if something else seems more helpful. Online formats make it easier to fit therapy into a busy life. Video calls work well for in‑depth conversations and visual connection. Phone sessions can be a good option when bandwidth is limited or a quieter setting is easier to arrange. Live chat and text messaging allow quick check‑ins, brief coaching, or support between longer sessions, offering flexibility for different schedules and needs.