Brenda Ticknor

Integrating evidence-based approaches into online care

Brenda commonly draws on cognitive behavioral therapy and client-centered principles to guide online work. Cognitive behavioral therapy focuses on identifying and shifting unhelpful thinking and behavior patterns to reduce symptoms like anxiety and depression, while client-centered therapy emphasizes empathetic listening and collaboration so the client’s priorities shape the goals and pace of treatment.

She also uses elements of dialectical behavior therapy when emotion regulation, distress tolerance, or patterns of relationship instability are central concerns; DBT provides practical skills for managing intense feelings and improving interpersonal effectiveness. Together these approaches offer skills-based and relational tools that can be matched to each person’s situation during intake and early sessions.

Finding the right approach is part of the therapeutic process, and the therapist works collaboratively with clients to determine which methods fit their needs, goals, and preferences. That collaborative exploration helps prioritize techniques and decide when to emphasize skills practice, reflective work, or emotion-focused interventions.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for scheduling and make it easier to maintain continuity of care. These options allow clients to engage in skills practice, processing, and regular check-ins in ways that suit their daily life and availability.