Peggy Cahue-Kuipers

How therapy approaches translate to online care

Gottman Method ideas focus on improving communication and reducing damaging patterns between people. Online sessions can use these tools to practice new ways of speaking, listening, and repairing conflict in real time, helping with intimacy-related concerns and communication problems.

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take small steps toward those values while accepting difficult feelings. ACT is often helpful for anxiety, stress, depression, and life changes because it emphasizes doable actions and flexibility rather than perfect solutions.

Client-Centered Therapy centers the person's experience through empathic listening and collaboration. That approach creates space for clients to set the pace and priorities of therapy and can be combined with skills training from CBT and DBT for practical change.

Finding the right approach is part of the work. Peggy will talk with clients about goals, preferences, and what feels most helpful, and then shape sessions together. The plan can change as the client learns what works best.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for longer sessions and exercises that benefit from face-to-face interaction. Phone sessions can fit a break at work or use less bandwidth. Live chat and text messaging are helpful for brief check-ins, skill reminders, or when someone prefers typed conversation. These options give flexibility for different schedules and needs while keeping therapy focused and practical.