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
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Specialties and expertise
Top specialties
Also works with
- ADHD
- Anger management
- Bipolar disorder
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Family conflicts
- Forgiveness
- Grief
- Guilt and shame
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- New York
- Languages
- English
Next step
Talk to Tammy
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point