Karina Killough, LCMHC

How approaches translate into online care

Emotionally-Focused Therapy (EFT) helps people notice and name emotions, then work through patterns that block connection or lead to distress. Online sessions can use EFT to explore feelings and relational patterns through conversation and targeted exercises that deepen emotional understanding.

Client-Centered Therapy focuses on listening without judgment and letting the client guide the session. In an online setting this means the therapist follows the client's lead, offers reflective listening, and helps the person clarify goals and values in their own words.

Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors and teaches concrete skills to change them. That work adapts easily to video or phone sessions and can include homework, thought records, and behavioral experiments between meetings.

Choosing the right approach is a collaborative process. Karina will work with each person to identify which methods fit their needs and goals and may combine techniques as therapy progresses. Decisions about focus and tools happen together, with regular check-ins about what is or isn't helping.

Online therapy offers flexibility for different schedules and needs. Video calls approximate face-to-face interaction for in-depth conversation, phone sessions can be easier when lower bandwidth or no camera is preferred, and live chat or text messaging work well for quick check-ins, brief skill practice, or people who prefer typed communication. These options make it simpler to keep sessions consistent and to fit therapy into a busy life.