PuttingFamilyFirst

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

TR Portrait of Tiffany Ruff
Online therapist

Tiffany Ruff

Calm guidance for family and life transitions

Credentials
LPC
Experience
7 years
Licensed in
Michigan
Languages
English
Format
Online sessions

About Tiffany

Tiffany Ruff is a Licensed Professional Counselor with seven years of clinical experience. She uses a warm, client-centered approach to help people tackle stress, anxiety, addiction concerns, and relationship tensions. Tiffany aims to make therapy feel approachable and practical for busy parents and caregivers.

She creates a calm space where people can say what they think and feel without judgment. Sessions focus on clear goals, small steps, and skills that can be used between appointments.

Background and approach

Tiffany combines listening with tools from cognitive behavioral techniques to reduce worry and change unhelpful patterns. Her work covers LGBT issues, family and parenting concerns, trauma and abuse, life transitions, and career or purpose questions. She also supports people working on self-esteem, self-love, sexuality, and recovery from traumatic brain injury.

Tiffany brings coaching-style feedback when clients want focused planning and next steps. In sessions she mixes evidence-based methods like CBT and trauma-focused strategies with mindfulness and solution-focused techniques. That blend aims to reduce symptoms and build practical coping skills.

Progress is tracked through goals that the client sets, so every plan fits real life. Therapy is offered from Michigan and conducted in English. New clients start by completing a short matching questionnaire and scheduling sessions that fit their life.

Tiffany emphasizes steady, realistic change rather than quick fixes.

How Tiffany’s approaches translate to online care

Tiffany blends client-centered therapy with cognitive behavioral therapy to help people find clear steps forward. Client-centered therapy means she listens closely and follows each person’s pace so sessions feel supportive. Cognitive behavioral therapy (CBT) focuses on spotting unhelpful thoughts and practicing new behaviors to reduce anxiety, stress, and addictive patterns.

She also uses mindfulness practices to teach simple grounding and attention skills that can be used during daily stress. Those skills pair well with CBT when clients want tools to manage worry or strong emotions. Tiffany approaches trauma with trauma-focused techniques that emphasize safety, pacing, and practical coping strategies when trauma work is needed.

Choosing the right approach is a joint process. Tiffany works with clients to identify goals, try methods that match those goals, and adjust as progress is tracked. She explains options plainly and helps decide whether to focus on skills training, trauma work, or short-term solution-focused planning based on what the client wants.

Online sessions are offered by video call, phone, live chat, or text messaging to fit different schedules and comfort levels. These formats make it easier to keep appointments, practice skills between sessions, and check in when life gets busy. The variety also lets clients select the way of connecting that feels most helpful for their needs.

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.

Mindfulness Therapy

Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.

Frequently asked questions

What concerns does she address?
Tiffany helps with stress, anxiety, addictions, family and parenting issues, LGBT concerns, trauma and abuse, career and life purpose, self-esteem, and related areas.
What is her therapeutic style?
She uses a client-centered style that emphasizes listening and collaboration, adding cognitive behavioral strategies, mindfulness, solution-focused steps, and trauma-focused tools as needed.
How much experience does she have?
She has seven years of professional experience working in counseling settings and with a range of concerns listed above.
What are her credentials and where is she based?
She is a Licensed Professional Counselor - LPC - licensed in Michigan with license number MI LPC 6401223095.
Which languages are supported?
Sessions are offered in English.
What session formats are available?
Therapy is offered through video calls, phone sessions, live chat, and text-based messaging.
How does billing and cost work?
Cost varies by location and therapist availability and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To get started select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

Specialties and expertise

Top specialties

Experience
7 years
Licensed
Michigan
Languages
English

Next step

Talk to Tiffany

  • Takes a few minutes
  • Nothing to set up just to look
  • Stop at any point