Georgette Esquivel-Chand, LMFT, LPCC

Therapeutic approaches and online care

Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and choose actions that align with their values. It can be useful for anxiety, depression, and ongoing stress by teaching practical skills to stay present and committed to meaningful goals. Psychodynamic Therapy looks at how past relationships and early experiences shape current feelings and behavior. It can help when recurring patterns, attachment issues, or unresolved hurts are getting in the way of daily life. Internal Family Systems focuses on the different parts that make up a person and how those parts relate. That approach is often helpful for trauma, shame, or strong inner conflict by gently separating the parts so they can be understood and cared for. Finding the right approach is part of the work. The therapist will discuss goals, preferences, and needs and will collaborate to choose techniques that fit. Sessions may combine methods over time so the plan can change if something is not helping. Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video lets people see facial cues and interact more like an in-person session, while phone sessions use less bandwidth and can be easier during a busy day. Live chat and text are useful for brief check-ins, processing between sessions, or when writing feels more comfortable. These options make it easier to fit therapy into work, caregiving, or other routines and still get consistent support.