Elizabeth Giele, LCSW, LICSW

How somatic and mindfulness approaches translate to online therapy

Somatic-informed work pays attention to how sensations in the body relate to feelings and stress. In online sessions this can mean simple grounding exercises, breath awareness, and noticing tension in the neck or shoulders to help reduce overwhelm. Acceptance and Commitment Therapy (ACT) focuses on identifying personal values and taking small committed steps toward them while learning to live with difficult thoughts and feelings. ACT is useful for anxiety, life changes, and helping prioritize what matters most. Client-centered therapy emphasizes being heard and respected; the therapist follows each person’s lead and builds a trusting space for exploration and problem solving.

Finding the right approach is part of the work and happens together. The therapist will talk with the person about their goals, try approaches that fit those needs, and adjust based on what feels most helpful. This collaborative process makes it easier to blend body-centered practices, mindfulness, and values-focused coaching when appropriate.

Online formats such as video calls, phone sessions, live chat, and text-based messaging make it easier to fit therapy into a busy life. These options offer flexibility for people with caregiving duties, health limitations, or tight schedules. They also allow practicing grounding and mindfulness skills at home between sessions so new habits can take hold.