Lorraine Helferich, MD, LCPC

How online sessions use narrative and skills

Narrative Therapy helps people separate themselves from their problems by looking at the stories they tell about difficult events. It can make painful experiences feel less defining and open space for alternative, more helpful meanings. Attachment-Based Therapy looks at how early relationships shape expectations for closeness and safety. It helps people notice patterns in current relationships and try new ways of connecting that feel more reliable. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and shifting them through practical exercises. It is useful for anxiety, low mood, and changing behaviors that cause stress. Finding the right mix of approaches is part of the work. Lorraine will collaborate with each person to choose strategies that match their needs, goals, and preferences. That means deciding together whether narrative work, skills practice from CBT, or attachment-focused exploration makes the most sense. Online formats offer flexibility and different ways to stay connected. Video calls allow face-to-face conversation and visual cues. Phone sessions can work well when bandwidth is low or a quieter check-in is needed. Live chat and text-based messaging are helpful for quick reflections, brief coaching, or continuing work between sessions. These options make it easier to fit therapy into work, caregiving, or busy days while keeping the focus on progress and practical next steps.