Tina Echterling
Focused, direct, practical therapy
- Credentials
- LPC, LMHC
- Experience
- 9 years
- Licensed in
- Indiana, Oregon
- Languages
- English
- Format
- Online sessions
About Tina
Tina Echterling is a licensed professional counselor (LPC) and licensed mental health counselor (LMHC) practicing in Indiana. She focuses on starting directly with what matters - helping people name their stress, anxiety, depression, or struggles with addiction. Tina aims to make the first step less intimidating and offers steady, straightforward support as someone begins therapy.
She creates a calm space where people can talk without judgment. Sessions are practical and direct.
Background and approach
Tina listens first, then works with each person to make simple, useful plans for change. Her work draws on Client-Centered Therapy. That means the client’s perspective leads the session and conversations shape the path forward.
She also uses Cognitive Behavioral Therapy to spot unhelpful thoughts and test new behaviors in daily life. These methods are mixed with techniques from Dialectical Behavior Therapy and Motivational Interviewing when needed to build skills and motivation. Tina’s experience includes helping with relationship and family concerns, grief, trauma and abuse, self-esteem, anger, and compassion fatigue.
Additional focuses include blended family issues, body image, codependency, communication and control problems, divorce and separation, and drug and alcohol addiction. She brings nine years of clinical experience to her work and approaches each session with a direct, compassionate style. That straightforward approach is aimed at moving people toward clearer choices and manageable steps forward.
Therapeutic approaches and how they work online
Client-Centered Therapy centers the person’s perspective and priorities. The therapist follows the client’s lead, listens closely, and helps clarify what matters most. This approach can be helpful for people who need a supportive space to sort feelings and decide next steps.Cognitive Behavioral Therapy, or CBT, looks at patterns of thinking and behavior that keep problems going. It breaks those patterns into concrete steps and small experiments to try between sessions, which helps with anxiety, depression, and stress-related issues.
Dialectical Behavior Therapy, or DBT, teaches practical skills for emotional regulation and handling intense reactions. It is useful when emotions feel overwhelming or when people want tools to reduce conflict and improve coping.
Tina will work collaboratively to find the best fit among these approaches based on a person’s needs, goals, and preferences. She typically combines techniques as needed, and she involves the client in choosing which methods to try. Finding the right approach is part of the therapeutic process and happens together over time.
Online sessions give flexibility to meet by video, phone, live chat, or text-based messaging. Those options make it easier to attend when schedules are busy or travel is difficult. Many people find that working with a licensed professional in these formats still allows focused conversations, clear skill-building, and step-by-step planning that carry over into daily life.
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
- Abandonment
- Aging and geriatric issues
- Anger management
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Jealousy
- Life purpose
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Indiana, Oregon
- Languages
- English
Next step
Talk to Tina
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point