Teletherapy for Mira Mesa - San Diego, CA

Photo of Alexis Sword, MA, LMFT, Marriage & Family Therapist
Alexis Sword
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126  (Online Only)
Over 2,600 5-star reviews doing remote therapy.  2019 and 2022 business Award for Excellence in Psychotherapy!  Treating: Adults and Children via Remote Therapy ages 9-99yrs. 25+yrs experience using a mind, body and soul approach. Specialty: Depression, ADHD, Anxiety & Trauma.   As a survivor herself of child abuse, rape and kidnapping her use of both traditional therapy and Eastern knowledge from studies with Tibetan Monks in India and Shamans in Central America, has lead to hundreds of clients with amazing results.
Over 2,600 5-star reviews doing remote therapy.  2019 and 2022 business Award for Excellence in Psychotherapy!  Treating: Adults and Children via Remote Therapy ages 9-99yrs. 25+yrs experience using a mind, body and soul approach. Specialty: Depression, ADHD, Anxiety & Trauma.   As a survivor herself of child abuse, rape and kidnapping her use of both traditional therapy and Eastern knowledge from studies with Tibetan Monks in India and Shamans in Central America, has lead to hundreds of clients with amazing results.
(310) 340-0671 View (310) 340-0671
Photo of Samantha Arreola, LCSW, Clinical Social Work/Therapist
Samantha Arreola
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Mira Mesa, San Diego, CA 92126  (Online Only)
Samantha provides treatment for adults dealing with PTSD, complex trauma, anxiety, depression, issues with attachment, childhood trauma, and relational issues. Samantha Arreola is a licensed clinical social worker who specializes in supporting clients through past trauma, specifically childhood trauma in order to foster healthier romantic, social, and familial relationships. I help people get unstuck from their negative thought patterns and behaviors, and work toward unapologetically loving themselves and their lives.
Samantha provides treatment for adults dealing with PTSD, complex trauma, anxiety, depression, issues with attachment, childhood trauma, and relational issues. Samantha Arreola is a licensed clinical social worker who specializes in supporting clients through past trauma, specifically childhood trauma in order to foster healthier romantic, social, and familial relationships. I help people get unstuck from their negative thought patterns and behaviors, and work toward unapologetically loving themselves and their lives.
(559) 272-6097 View (559) 272-6097
Photo of Anahita Shahbazi, MA, LMFT, Marriage & Family Therapist
Anahita Shahbazi
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126  (Online Only)
Don't run away from grief. Look for the remedy inside the pain because the rose came from the thorn. - Rumi. Anahita is a Licensed Marriage and Family Therapist in California. Her professional journey has been profoundly influenced by her personal experiences, which have been marked by various challenges from childhood to adulthood. It took her several years to overcome her struggles, These experiences, including her own battles with mental health dilemmas coupled with her innate gifts of intuition, empathy, advocacy, and curiosity, has shaped her into a competent therapist ready to assist others on their path to healing.
Don't run away from grief. Look for the remedy inside the pain because the rose came from the thorn. - Rumi. Anahita is a Licensed Marriage and Family Therapist in California. Her professional journey has been profoundly influenced by her personal experiences, which have been marked by various challenges from childhood to adulthood. It took her several years to overcome her struggles, These experiences, including her own battles with mental health dilemmas coupled with her innate gifts of intuition, empathy, advocacy, and curiosity, has shaped her into a competent therapist ready to assist others on their path to healing.
(858) 683-1235 View (858) 683-1235
Photo of Jacqueline Rivera, LMFT, Marriage & Family Therapist
Jacqueline Rivera
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi! My name is Jackie Rivera and I'm a Licensed Marriage and Family Therapist. I love working with individuals to help them overcome obstacles and life events that might have them feeling stuck, overwhelmed, and incapable with feelings of hopelessness, restlessness, grief, and more. Let's connect to be able to start working on your recovery today. I work well with folks who are struggling with symptoms of depression, anxiety, difficulty with regulating emotions, relationship issues, grief, problems in the workplace, imposter syndrome, adjustment disorders, and more.
Hi! My name is Jackie Rivera and I'm a Licensed Marriage and Family Therapist. I love working with individuals to help them overcome obstacles and life events that might have them feeling stuck, overwhelmed, and incapable with feelings of hopelessness, restlessness, grief, and more. Let's connect to be able to start working on your recovery today. I work well with folks who are struggling with symptoms of depression, anxiety, difficulty with regulating emotions, relationship issues, grief, problems in the workplace, imposter syndrome, adjustment disorders, and more.
(858) 290-7992 View (858) 290-7992
Photo of Kandice Casillas, LPCC
Kandice Casillas
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Mira Mesa, San Diego, CA 92126
Hello, I am Kandice Casillas, a Licensed Professional Clinical Counselor. I believe that the client is the expert in their life while I am a helper in understanding and making connections with the unknown. My areas of focus are trauma, depression, anxiety, communication, boundaries, self-acceptance, and self-compassion. I use a collection of Attachment-Based, Solution Focus, Narrative, CBT, Compassion Focused, and Client Centered approaches. I like to start with the basics of understanding the client's needs, finding coping skills that work, and then diving into the real problem at hand.
Hello, I am Kandice Casillas, a Licensed Professional Clinical Counselor. I believe that the client is the expert in their life while I am a helper in understanding and making connections with the unknown. My areas of focus are trauma, depression, anxiety, communication, boundaries, self-acceptance, and self-compassion. I use a collection of Attachment-Based, Solution Focus, Narrative, CBT, Compassion Focused, and Client Centered approaches. I like to start with the basics of understanding the client's needs, finding coping skills that work, and then diving into the real problem at hand.
(858) 331-8337 View (858) 331-8337
Photo of Anne Glenn, LCSW, Clinical Social Work/Therapist
Anne Glenn
Clinical Social Work/Therapist, LCSW
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi, I'm Anne! Anne Glenn, LCSW. I am a Licensed Clinical Social Worker. My approach to treatment is to work hand in hand with my clients. Helping them find answers, healing, and growth they may be looking for. I do not work with high-risk clients. I specialize in working with kids and families who have experienced trauma, depression, anxiety, disruptive behaviors and changes in family environment due to abuse and divorce.
Hi, I'm Anne! Anne Glenn, LCSW. I am a Licensed Clinical Social Worker. My approach to treatment is to work hand in hand with my clients. Helping them find answers, healing, and growth they may be looking for. I do not work with high-risk clients. I specialize in working with kids and families who have experienced trauma, depression, anxiety, disruptive behaviors and changes in family environment due to abuse and divorce.
(858) 648-5073 View (858) 648-5073
Photo of Vanessa Gonzalez, LMFT, Marriage & Family Therapist
Vanessa Gonzalez
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
My name is Vanessa Gonzalez, LMFT. My focus is children, adolescents, and parenting skills to provide the most growth for the youth. I have a history of working closely with foster youth, children in kinship Care, as well as children in a traditional home setting. I have worked with children experiencing anxiety, trauma, children living with ADHD, grief, separation, and divorce. I am familiar with the use and skills of Trauma Focused CBT, Cognitive behavioral therapy, mindfulness skills, parenting skills, and more. I believe that each person has was it takes to achieve their goals and just needs some assistance to facilitate change.
My name is Vanessa Gonzalez, LMFT. My focus is children, adolescents, and parenting skills to provide the most growth for the youth. I have a history of working closely with foster youth, children in kinship Care, as well as children in a traditional home setting. I have worked with children experiencing anxiety, trauma, children living with ADHD, grief, separation, and divorce. I am familiar with the use and skills of Trauma Focused CBT, Cognitive behavioral therapy, mindfulness skills, parenting skills, and more. I believe that each person has was it takes to achieve their goals and just needs some assistance to facilitate change.
(858) 251-9872 View (858) 251-9872
Photo of Gabriel Mejia, LCSW, Clinical Social Work/Therapist
Gabriel Mejia
Clinical Social Work/Therapist, LCSW
Verified Verified
Mira Mesa, San Diego, CA 92126
Hello, my name is Gabriel Mejia, and I am a practicing Licensed Clinical Social Worker (LCSW). I approach therapy as a professional whose aim is to improve the quality of life of my clients. Working together as a unit with my clients, I hope to fill the missing puzzles pieces of what happiness, satisfaction, contentment, empowerment or peace of mind feels like. Likewise, I help clients to re-shift distorted, stressful, anxiety, depressive, overwhelming thoughts/experiences in order to gain back the calm that might be missing in their lives.
Hello, my name is Gabriel Mejia, and I am a practicing Licensed Clinical Social Worker (LCSW). I approach therapy as a professional whose aim is to improve the quality of life of my clients. Working together as a unit with my clients, I hope to fill the missing puzzles pieces of what happiness, satisfaction, contentment, empowerment or peace of mind feels like. Likewise, I help clients to re-shift distorted, stressful, anxiety, depressive, overwhelming thoughts/experiences in order to gain back the calm that might be missing in their lives.
(858) 832-2598 View (858) 832-2598
Photo of Laura Lugo, LMFT, Marriage & Family Therapist
Laura Lugo
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi there, I'm Laura! I am an experienced Licensed Mental Health Counselor with a demonstrated history of working in the mental health care industry. Skilled in Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT) for trauma, Group Therapy for substance abuse, Crisis Intervention, Family Therapy, and Case Management. I have a background as a healthcare service professional with a Master of Science (MS) focused on Marriage and Family Therapy/Counseling from the University of Phoenix. I have a very empathetic approach to listening while providing unconditional positive regard for each member's issues and concerns.
Hi there, I'm Laura! I am an experienced Licensed Mental Health Counselor with a demonstrated history of working in the mental health care industry. Skilled in Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT) for trauma, Group Therapy for substance abuse, Crisis Intervention, Family Therapy, and Case Management. I have a background as a healthcare service professional with a Master of Science (MS) focused on Marriage and Family Therapy/Counseling from the University of Phoenix. I have a very empathetic approach to listening while providing unconditional positive regard for each member's issues and concerns.
(858) 463-5625 View (858) 463-5625
Photo of Leslie Westbrook, LMFT, Marriage & Family Therapist
Leslie Westbrook
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi, my name is Leslie Westbrook, and I am an LMFT (127260). I am passionate about helping clients achieve their goals, and I believe I have the skills and knowledge to do just that. I'm excited to learn more about you and how I can help. My approach to providing therapy is to create a safe and nonjudgmental space for clients to explore their thoughts, feelings, and experiences. I believe in taking an integrative approach that draws from a variety of therapeutic modalities, such as cognitive behavioral therapy, person-centered therapy, and mindfulness-based therapies.
Hi, my name is Leslie Westbrook, and I am an LMFT (127260). I am passionate about helping clients achieve their goals, and I believe I have the skills and knowledge to do just that. I'm excited to learn more about you and how I can help. My approach to providing therapy is to create a safe and nonjudgmental space for clients to explore their thoughts, feelings, and experiences. I believe in taking an integrative approach that draws from a variety of therapeutic modalities, such as cognitive behavioral therapy, person-centered therapy, and mindfulness-based therapies.
(858) 330-2804 View (858) 330-2804
Photo of Daniel Leone, LMFT, Marriage & Family Therapist
Daniel Leone
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
I welcome you! My name is Daniel Leone and I work as a Licensed Marriage and Family Therapist. My experience is focused mainly on relationship issues, anxiety, depression, trauma and substance use. Therapy will provide you with the space and safety to talk about your traumas, struggles and concerns without judgement. As a therapist I had the opportunity to work with kids (9 to 12), teens, adults and couples.
I welcome you! My name is Daniel Leone and I work as a Licensed Marriage and Family Therapist. My experience is focused mainly on relationship issues, anxiety, depression, trauma and substance use. Therapy will provide you with the space and safety to talk about your traumas, struggles and concerns without judgement. As a therapist I had the opportunity to work with kids (9 to 12), teens, adults and couples.
(858) 923-5930 View (858) 923-5930
Photo of Cynthia Haynes, LMFT, Marriage & Family Therapist
Cynthia Haynes
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi, my name is Cynthia Haynes, LMFT. I provide individual, couples, and family therapy. I provide telehealth services at this time using Zoom App. I mostly practice psychoanalysis with an emphasis on Cognitive Behavioral Therapy. I work with individuals ages 12 and up. I treat anxiety, depression, PTSD, anger management, and matrimonial challenges to name a few. Most clients enjoy my therapeutic approach and continue on with therapy even after the original challenges have been resolved. I love working with people and helping people. God has blessed with a beautiful talent.
Hi, my name is Cynthia Haynes, LMFT. I provide individual, couples, and family therapy. I provide telehealth services at this time using Zoom App. I mostly practice psychoanalysis with an emphasis on Cognitive Behavioral Therapy. I work with individuals ages 12 and up. I treat anxiety, depression, PTSD, anger management, and matrimonial challenges to name a few. Most clients enjoy my therapeutic approach and continue on with therapy even after the original challenges have been resolved. I love working with people and helping people. God has blessed with a beautiful talent.
(858) 465-4539 View (858) 465-4539
Photo of Traevonn Johnson, LMFT, Marriage & Family Therapist
Traevonn Johnson
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
My name is Traevonn Johnson, and I am a Licensed Marriage and Family Therapist (LMFT) based in Los Angeles, CA. I work with children and youth and specialize in behavioral difficulties, anxiety, depression and impulsivity using Cognitive Behavioral Therapy to encouraged progress and a decrease in symptoms. I typically work with children and teens but believe that children and teens make better progress with parental/caregiver involvement, thus I enjoy checking in with parents and providing skills for parents to engage in to help children and teens make better progress.
My name is Traevonn Johnson, and I am a Licensed Marriage and Family Therapist (LMFT) based in Los Angeles, CA. I work with children and youth and specialize in behavioral difficulties, anxiety, depression and impulsivity using Cognitive Behavioral Therapy to encouraged progress and a decrease in symptoms. I typically work with children and teens but believe that children and teens make better progress with parental/caregiver involvement, thus I enjoy checking in with parents and providing skills for parents to engage in to help children and teens make better progress.
(858) 786-2028 View (858) 786-2028
Photo of Mindy Lee Richard, LCSW, Clinical Social Work/Therapist
Mindy Lee Richard
Clinical Social Work/Therapist, LCSW
Verified Verified
Mira Mesa, San Diego, CA 92126
My name is Mindy Richard and I am a Licensed Clinical Social Worker in the state of California. I have 16 years of experience working with individuals and families in medical and educational settings. My focus is working with clients with emotional challenges such as Anxiety, Depression, PTSD, mood instability, and emotional distress related to coping with illness and injury. My goal is to help each client learn tools to increase their quality of life and decrease emotional distress.
My name is Mindy Richard and I am a Licensed Clinical Social Worker in the state of California. I have 16 years of experience working with individuals and families in medical and educational settings. My focus is working with clients with emotional challenges such as Anxiety, Depression, PTSD, mood instability, and emotional distress related to coping with illness and injury. My goal is to help each client learn tools to increase their quality of life and decrease emotional distress.
(858) 648-4946 View (858) 648-4946
Photo of Kendra Hadley, LCPC
Kendra Hadley
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
(858) 381-9751 View (858) 381-9751
Photo of Roger Carey, LCP, Psychologist
Roger Carey
Psychologist, LCP
Verified Verified
Mira Mesa, San Diego, CA 92126
Dr. Roger Carey, Clinical Psychologist, PSY 20871. Dr. Carey has practiced clinical psychology for the past 35 years in many different contexts, including private practice, residential treatment programs, schools, clinics, hospitals, institutions, and the California Prison system. Dr. Carey provides treatment to adults who suffer from varied mental health disorders. His primary aim is to help the individual recover, get better, stay better and practice research-based treatment strategies that work that are validated and confirmed by research studies.
Dr. Roger Carey, Clinical Psychologist, PSY 20871. Dr. Carey has practiced clinical psychology for the past 35 years in many different contexts, including private practice, residential treatment programs, schools, clinics, hospitals, institutions, and the California Prison system. Dr. Carey provides treatment to adults who suffer from varied mental health disorders. His primary aim is to help the individual recover, get better, stay better and practice research-based treatment strategies that work that are validated and confirmed by research studies.
(858) 422-0148 View (858) 422-0148
Photo of Valerie Vecente, LMFT, Marriage & Family Therapist
Valerie Vecente
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
Hello! My name is Valerie Vecente. I am a Licensed Marriage and Family Therapist. I enjoy working with youth and adults. I enjoy supporting youth and adults experiencing symptoms of anxiety, depression, and trauma. I believe you are the expert in your life! While supporting you through this journey, I use an approach that will benefit you. This may include use of techniques from CBT, Family Systems, DBT to name a few. I believe in allowing the client to guide the sessions while I support you. You are the expert in your life!
Hello! My name is Valerie Vecente. I am a Licensed Marriage and Family Therapist. I enjoy working with youth and adults. I enjoy supporting youth and adults experiencing symptoms of anxiety, depression, and trauma. I believe you are the expert in your life! While supporting you through this journey, I use an approach that will benefit you. This may include use of techniques from CBT, Family Systems, DBT to name a few. I believe in allowing the client to guide the sessions while I support you. You are the expert in your life!
(858) 879-6855 View (858) 879-6855
Photo of Nadine La Fleur, CP, Psychologist
Nadine La Fleur
Psychologist, CP
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi there, I'm Nadine! The atmosphere I provide is warm and trusting without judgement. I allow the client to tell me their story without interruption. If I feel they need more help or direction it is provided. The helping professional has always allured. It felt like a natural and nice way to spend one's time in a career. There was also a desire to find out more about myself and what drives my own behavior. In addition, there was also a need to improve myself and be a compassionate and understanding human being.
Hi there, I'm Nadine! The atmosphere I provide is warm and trusting without judgement. I allow the client to tell me their story without interruption. If I feel they need more help or direction it is provided. The helping professional has always allured. It felt like a natural and nice way to spend one's time in a career. There was also a desire to find out more about myself and what drives my own behavior. In addition, there was also a need to improve myself and be a compassionate and understanding human being.
(858) 683-0811 View (858) 683-0811
Photo of Monique Nguyen, LCSW, Clinical Social Work/Therapist
Monique Nguyen
Clinical Social Work/Therapist, LCSW
Verified Verified
Mira Mesa, San Diego, CA 92126
Hello and welcome! My name is Monique Nguyen, and I am a Licensed Clinical Social Worker with a passion to help you find meaning, healing, and growth no matter who you are and what stage you are in your life. Life can be overwhelming, even, at times, unfair and unjust due to various life stressors. If you are finding that everyday tasks are becoming too daunting, socializing is becoming too demanding, and overthinking is becoming too difficult to manage, together, we can work toward improving your quality of life.
Hello and welcome! My name is Monique Nguyen, and I am a Licensed Clinical Social Worker with a passion to help you find meaning, healing, and growth no matter who you are and what stage you are in your life. Life can be overwhelming, even, at times, unfair and unjust due to various life stressors. If you are finding that everyday tasks are becoming too daunting, socializing is becoming too demanding, and overthinking is becoming too difficult to manage, together, we can work toward improving your quality of life.
(858) 391-4899 View (858) 391-4899
Photo of Megan Matthewson, LMFT, Marriage & Family Therapist
Megan Matthewson
Marriage & Family Therapist, LMFT
Verified Verified
Mira Mesa, San Diego, CA 92126
Hi, I'm Megan Mathewson. I'm a Licensed Marriage and Family Therapist. I believe that people have an innate capacity to heal and make desired changes in their lives, but the work of personal and relational growth can be difficult and doesn’t have to be done alone. I offer a safe and supportive space where we can work together on creating what you want to see in your life. I have worked with children, adolescents, parents, adults and families for over 10 years. I have worked with people who experience depression, anxiety, stress, trauma (and other adverse experiences), parenting, and relational challenges.
Hi, I'm Megan Mathewson. I'm a Licensed Marriage and Family Therapist. I believe that people have an innate capacity to heal and make desired changes in their lives, but the work of personal and relational growth can be difficult and doesn’t have to be done alone. I offer a safe and supportive space where we can work together on creating what you want to see in your life. I have worked with children, adolescents, parents, adults and families for over 10 years. I have worked with people who experience depression, anxiety, stress, trauma (and other adverse experiences), parenting, and relational challenges.
(858) 758-8557 View (858) 758-8557

See more therapy options for Mira Mesa, San Diego

Online Therapists

Is online therapy as effective as in-person?

Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.

What are the advantages and disadvantages of therapy conducted online?

One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialized therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.

Is online therapy suitable for children and adolescents?

Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.

Can I receive prescriptions and medication management with online therapy?

The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.