About Tammy
Tammy Piazza is a Licensed Mental Health Counselor (LMHC) who helps people manage anxiety and stress. She offers straightforward support for mood concerns, sleeping problems, substance use issues, and trauma. Tammy speaks English and works with adults in New York.
She uses clear, practical tools so clients can start feeling steadier in daily life. Tammy draws on client-centered principles to make sessions collaborative and person-focused. She also uses cognitive behavioral therapy to help people notice unhelpful thoughts and try different behaviors.
Background and approach
For clients coping with intense emotions, she adds skills from dialectical behavior therapy to build distress tolerance and emotion regulation. In sessions she focuses on skills you can use between meetings. That can mean learning grounding and self-soothing techniques for panic or trauma symptoms.
It can also mean planning steps to reduce substance use and manage cravings when addiction is a concern. Tammy has seven years of professional experience working with people who face overlapping mental health and substance challenges. Her New York LMHC credential is noted as part of her background.
She keeps language simple and practical so busy parents and professionals can follow along. People who choose Tammy typically want clear tools, steady support through life changes, and help recovering from past hurt. She invites clients to start where they are and build skills at a comfortable pace.
How Tammy’s Approaches Work Online
Tammy commonly uses client-centered work and cognitive behavioral therapy in online sessions. Client-centered therapy focuses on listening and responding to what matters most to the client so the therapist can follow the client's pace and priorities. Cognitive behavioral therapy helps identify patterns of thinking and behavior that increase anxiety or low mood and teaches concrete exercises to change them.She also draws on dialectical behavior therapy when emotions feel overwhelming. DBT offers skills for distress tolerance, emotion regulation, and better interpersonal communication. These skills can reduce panic attacks, intense anger, and impulsive behaviors when practiced over time.
Finding the right approach is part of the process. Tammy will collaborate with each person to choose methods that fit their needs, goals, and daily life. She adapts strategies based on progress and client feedback so therapy stays practical and grounded.
Online therapy lets clients use video calls, phone sessions, live chat, or text-based messaging for flexibility. Video calls work well for full sessions and face-to-face conversation. Phone sessions can be useful when bandwidth is limited or a quicker check-in is needed. Live chat and messaging support shorter updates, skill practice between sessions, and ongoing check-ins without a scheduled call.
Questions people ask
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What this therapist works with
Also listed
- 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
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