Karl Nitz, LSCSW, LCSW

Integrating therapeutic approaches with online care

Internal Family Systems (IFS) views a person as composed of different inner parts and uses gentle exploration to help those parts cooperate, which can be useful for navigating anxiety, internal conflict, or persistent self-criticism. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing practical strategies to shift emotions and behavior, often used for anxiety, depression, and stress. Solution-Focused Therapy zeroes in on small, actionable changes and strengths to move toward a client’s goals without getting stuck in problem analysis.

Choosing the right approach is often a collaborative process. Karl will work with each person to consider their goals, preferences, and how they respond to different techniques, adjusting the mix of IFS, CBT, and solution-focused methods as therapy progresses to find what helps most.

Online therapy makes those approaches more accessible by offering video calls, phone sessions, live chat, or text-based messaging. These options provide flexibility for scheduling, allow work on skills between sessions through written exchanges, and can make it easier to maintain continuity of care when life is busy or travel is difficult. Licensed professionals can adapt exercises and check-ins to each format so therapy remains practical and outcome-oriented.