About Tammy

Tammy Piazza is a licensed mental health counselor in New York who works with people facing stress, anxiety, mood concerns, addiction, trauma, and ADHD. She writes in a straightforward way and focuses on meeting people where they are. She aims to teach practical coping skills and ways to manage strong emotions.

She uses a person-centered style that starts with listening. Sessions begin by finding what feels manageable and useful for each person.

Background and approach

From there, Tammy blends tools from cognitive behavioral approaches to change unhelpful thoughts and habits. When trauma is part of the story, Tammy can add eye movement desensitization and reprocessing to help people process painful memories. She also draws on dialectical behavior skills to teach emotion regulation, distress tolerance, and better interpersonal communication.

Clients can expect short-term skill-building and longer work on deeper patterns, depending on goals. Tammy emphasizes self-soothing techniques, relapse prevention for substance concerns, and practical steps for improving sleep and daily routines. Her approach is direct and compassionate, with an emphasis on what the person needs next.

With seven years of experience as an LMHC, Tammy has worked with people navigating bipolar disorder, depression, grief, codependency, and issues related to women’s health. She offers sessions in English and provides video, phone, live chat, and text-based messaging formats for flexible scheduling.

How Tammy blends proven approaches online

Client-centered therapy puts the person’s needs first and starts by listening closely to what matters most. This approach helps people feel heard and sets the pace for practical change. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety, mood problems, and sleep issues. Dialectical Behavior Therapy, known as DBT, teaches concrete skills for emotion regulation, distress tolerance, and clearer communication when feelings run high.

Finding the best approach is a collaborative process. Tammy will work with each person to pick techniques that match their goals, whether that means short-term skills training or deeper trauma work. She adapts the plan as needs change and checks in about what is and isn’t helping.

Online therapy offers flexible ways to connect. Video calls allow face-to-face conversation when a full session is needed. Phone sessions can be easier when bandwidth is low or when multitasking is necessary. Live chat and text-based messaging suit quick check-ins, brief coaching, or ongoing support between longer sessions. These options make it easier to fit therapy into a busy life while still using CBT, DBT, and person-centered methods effectively.

Questions people ask

What concerns does Tammy address?
She works with stress, anxiety, depression, bipolar symptoms, addictions, trauma, ADHD, grief, sleep struggles, anger, and self-esteem issues.
What is her therapeutic style like?
Tammy uses a person-centered approach and combines practical techniques from cognitive behavioral methods and dialectical behavior skills to teach coping and emotion regulation.
How much clinical experience does she have?
Tammy has seven years of experience working with people who have co-occurring substance use and mental health concerns as well as mood and trauma-related issues.
Where is she licensed and located?
She is a New York licensed mental health counselor, credentialed as an LMHC, and practices out of New York.
Which languages are supported in sessions?
Sessions are offered in English.
What session formats are available?
Therapy can be delivered via video calls, phone sessions, live chat, or text-based messaging to fit different schedules and preferences.
How are fees and subscriptions handled?
Cost varies by location and therapist availability. Sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's availability.

What this therapist works with

Experience
7 years
Licensed
New York
Languages
English

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