About Cara
Cara Tuley is a licensed professional clinical counselor with 33 years of experience. She works with people who are coping with stress, anxiety, depression, grief, addiction, and life changes. Cara practices in Ohio and also sees clients internationally in English.
She uses straightforward, practical methods that help people see patterns and try new ways of responding. Sessions focus on what is happening now and on skills that can reduce distress.
Background and approach
She draws on cognitive behavioral techniques to help people change unhelpful thinking and behavior. Cara also incorporates acceptance and commitment ideas to help people clarify values and take meaningful action. Mindfulness practices are used to build awareness and steady attention.
She uses dialectical strategies when emotions feel overwhelming and a calm, steady approach is needed. Her work covers a wide range of concerns, including relationship and intimacy issues, parenting and blended family stress, ADHD, trauma and abuse, LGBT concerns, chronic illness and caregiving strain, career questions, and sleep problems. She helps people address communication, codependency, and commitment struggles as well.
Cara aims to create a nonjudgmental space where people can explore goals and practice new skills. She guides toward concrete steps that fit everyday life and helps people track small changes over time. The emphasis is on practical tools and steady support rather than labels or promises.
How Cara’s approaches translate to online therapy
Cognitive Behavioral Therapy helps people identify unhelpful thoughts and test new behaviors. Online sessions can include step-by-step skill practice, homework assignments, and short exercises between meetings to build daily routines.Acceptance and Commitment Therapy focuses on clarifying values and taking small actions that matter. In remote sessions this often means setting simple, measurable goals and checking progress together during video calls or messages.
Finding the right approach is a shared process. Cara will work with each person to pick methods that match their goals, needs, and preferences and will adjust tactics over time. That collaborative planning helps people stay engaged and see what works for them.
Online formats offer flexibility for different situations. Video calls support a face-to-face conversation and screen sharing for worksheets. Phone sessions are useful when video is difficult or bandwidth is limited. Live chat and text messaging allow for brief check-ins, coaching-style support, and ongoing reminders between sessions. These options make it easier to fit therapy into workdays, caregiving schedules, or travel routines.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 33 years
- Licensed
- Ohio
- Languages
- English
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