Elizabeth Skaff , LISW

Elizabeth Skaff is a licensed independent social worker (LISW) based in Ohio who draws on a client-centered approach in her work. She centers the person first and listens closely to what matters most to them. Conversations tend to focus on practical steps and clearer thinking to reduce stress and worry. She trained at Case Western Reserve University and began her career in inpatient psychiatric care. Early work focused on children and adolescents and involved coordination with families and schools. That experience gave her a steady foundation for later private practice work. For more than two decades in private practice she has helped mainly young adults and adults with issues such as anxiety, depression, self-esteem, and challenges around decision making. She also supports people facing parenting stress, family conflict, mood differences like bipolar, attention concerns such as ADHD, and struggles with addiction. Her clinical style mixes straightforward techniques from cognitive behavioral therapy with solution-focused steps and emotionally-focused listening. That means sessions often include examining unhelpful thoughts, trying small changes, and working on stronger emotional connections. The pace and techniques are shaped by each person’s goals. People who start work with her can expect a calm, nonjudgmental space to talk things through and try practical strategies. She emphasizes hope, empowerment, and finding clearer ways to cope during life transitions.

Approaches that translate well to online therapy

Client-centered therapy focuses on listening and reflecting so clients feel heard and respected; it helps people clarify goals and decide what steps matter most. Cognitive behavioral therapy (CBT) looks at the link between thoughts, feelings, and actions and uses simple exercises to shift patterns that increase anxiety or low mood. Emotionally-focused work helps people name and work with strong emotions to improve connection and reduce repeated conflict.

Finding the right mix of approaches is part of the work together. The therapist will discuss goals, try techniques, and adjust the plan based on what feels useful. This is a collaborative process where the client’s needs and preferences guide decisions about methods and pace.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different routines and comfort levels. Video lets people read nonverbal cues and do fuller sessions. Phone sessions can be easier when bandwidth is low or when someone prefers not to be on camera. Live chat or text messaging work well for brief check-ins, tracking progress, or fitting a session into a work break. These options make it easier to keep therapy consistent during busy or changing schedules.