Photo of Shanna R Kraai, LICSW, Clinical Social Work/Therapist
Shanna R Kraai
Clinical Social Work/Therapist, LICSW
Verified Verified
Littleton, MA 01460
I bring over 15 years of experience as a clinician, with expertise in the areas of research, child welfare, juvenile justice, domestic and international school systems, and private practice therapy and assessment. I am passionate about mental health and aspire to create a climate of empathy, creativity, and understanding with families. I am a skilled clinician who strives to build resilience and adaptability in all my clients.
I bring over 15 years of experience as a clinician, with expertise in the areas of research, child welfare, juvenile justice, domestic and international school systems, and private practice therapy and assessment. I am passionate about mental health and aspire to create a climate of empathy, creativity, and understanding with families. I am a skilled clinician who strives to build resilience and adaptability in all my clients.
(978) 295-2967 View (978) 295-2967
Photo of James Hannon, PhD, LADC-I, Drug & Alcohol Counselor
James Hannon
Drug & Alcohol Counselor, PhD, LADC-I
Verified Verified
1 Endorsed
Littleton, MA 01460
Waitlist for new clients
Many of my patients are recovering from addictions of various sorts. Many of them, as well as other patients, have mood disorders (anxiety, depression and bipolar disorder). I also work with individuals and families struggling with problems in work and career, marriage and similar relationships, and what are often described as existential or spiritual crises--the lack of a sense of meaning and purpose in life. I involve families in therapy when possible--people don't live and learn as isolated individuals.
Many of my patients are recovering from addictions of various sorts. Many of them, as well as other patients, have mood disorders (anxiety, depression and bipolar disorder). I also work with individuals and families struggling with problems in work and career, marriage and similar relationships, and what are often described as existential or spiritual crises--the lack of a sense of meaning and purpose in life. I involve families in therapy when possible--people don't live and learn as isolated individuals.
(508) 374-9560 View (508) 374-9560
Photo of Kristin Bornstein, LMHC, Counselor
Kristin Bornstein
Counselor, LMHC
Verified Verified
Littleton, MA 01604
My warmth and compassion helps build a healing environment to support internal growth. I collaborate with clients to be empowered to fulfill their personal goals and live their best life. My use of cognitive behavioral therapy, mindfulness as well as an eclectic approach offers a tailor-fit approach for each person to strategize and resolve challenges and conflict in their life. I offer guidance and support for each person to make empowered choices to create renewal, balance and freedom in life. I offer insight, and a non-judgmental environment to support, and teach skills necessary for growth.
My warmth and compassion helps build a healing environment to support internal growth. I collaborate with clients to be empowered to fulfill their personal goals and live their best life. My use of cognitive behavioral therapy, mindfulness as well as an eclectic approach offers a tailor-fit approach for each person to strategize and resolve challenges and conflict in their life. I offer guidance and support for each person to make empowered choices to create renewal, balance and freedom in life. I offer insight, and a non-judgmental environment to support, and teach skills necessary for growth.
(508) 915-3775 x1 View (508) 915-3775 x1

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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.