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TP Portrait of Tammy Piazza
Online therapist

Tammy Piazza

Trauma-informed therapist who teaches practical skills

Credentials
LMHC
Experience
7 years
Licensed in
New York
Languages
English
Format
Online sessions

About Tammy

Tammy Piazza is a licensed mental health counselor who focuses on helping people manage stress, anxiety, addiction, grief, and parenting strain. She welcomes straightforward conversations and practical goals. Tammy offers a calm presence and clear tools for people who feel overwhelmed by mood shifts, sleep problems, or difficult life changes.

She uses a person-centered stance that centers the client's needs and comfort. That approach means Tammy listens first and tailors interventions to what matters most to the person in front of her.

Background and approach

She also draws on Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and Eye Movement Desensitization and Reprocessing when those methods fit the situation. In sessions Tammy teaches concrete coping skills. She helps people build self-soothing strategies and routines that support better sleep and mood regulation.

For those dealing with substance use alongside mood concerns, she integrates relapse prevention basics and communication skills to manage triggers. Tammy brings seven years of clinical experience and holds the Licensed Mental Health Counselor credential, NY LMHC 011846. Her background includes work with people facing dual diagnoses such as substance use combined with anxiety, depression, bipolar disorder, or post-traumatic stress.

Therapy with Tammy tends to focus on short-term skills and longer-term processing depending on the need. She aims to make therapy practical and understandable, helping people move past stuck points with steady, achievable steps.

How Tammy’s approaches translate to online work

Client-centered therapy emphasizes listening and adapting to the person’s needs. Online, this looks like sessions that begin with the client's priorities and move at a comfortable pace so goals feel relevant and achievable. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and changing behaviors; it is useful for anxiety, depression, panic, and sleep problems and translates well to video or phone sessions through worksheets and behavioral tasks. Eye Movement Desensitization and Reprocessing, EMDR, is a trauma-focused method that helps process distressing memories; elements of EMDR can be used in online formats when appropriate and agreed upon by the client.

Choosing the right approach is a collaborative process. Tammy will talk through preferences, symptoms, and goals and suggest methods that fit each person’s situation. She adjusts plans as therapy progresses so the work stays practical and focused on the client's priorities.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. These options let people schedule help around work, caregiving, or sleep cycles and allow for shorter check-ins or longer focused sessions. The range of formats makes it easier to use the same therapeutic tools and homework regardless of where the client is located.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What concerns does Tammy commonly address?
She works with stress, anxiety, depression, bipolar disorder, addictions, trauma and post-traumatic stress, grief, sleeping problems, parenting strain, ADHD, anger, and self-esteem issues.
What is her therapeutic style like?
Tammy uses a person-centered approach and adds evidence-based methods such as CBT, DBT, EFT, and EMDR when appropriate to teach coping skills and process trauma.
How much clinical experience does she have?
She has seven years of clinical experience working with people who often face combined mental health and substance-related challenges.
What are her credentials and where is she located?
She is a Licensed Mental Health Counselor, NY LMHC 011846, based in New York.
Can sessions be conducted in other languages or overseas?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with Tammy?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.

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