About Tarrah
Tarrah Grady is a Licensed Clinical Social Worker with 17 years of experience who uses practical, evidence-informed approaches to help people manage stress and anxiety. She focuses on clear goals and steady progress so people can feel more in control of daily life and relationships.
She draws on methods like acceptance and commitment therapy, cognitive behavioral therapy, dialectical behavior therapy, and EMDR to match the needs of each person. Sessions emphasize simple skills for mood, sleep, and coping with strong emotions.
Background and approach
Work often centers on reducing avoidance, improving communication, and managing cravings or compulsive patterns. Grady’s background includes hospital and clinic care, inpatient addiction treatment, corrections, schools, and suicide intervention organizations. That range gives her experience with crisis moments as well as longer-term rebuilding after loss or trauma.
She also has experience facilitating groups and counseling individuals and couples. People who come for help may be facing depression, grief, relationship strain, parenting stress, or challenges tied to identity including LGBT issues. She also supports those coping with burnout, compassion fatigue, or major life transitions.
Practical tools and steady check-ins guide the work. Tarrah earned a bachelor’s in social work from the University of Central Missouri and a master’s in social work from Washington University in St. Louis.
She holds an LCSW in Missouri and offers sessions in English, including to international clients.
How clinical approaches translate to online therapy
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, stress, and life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and practicing new, more helpful responses to improve mood and sleep. It is often used for anxiety, depression, and sleeping problems. Eye Movement Desensitization and Reprocessing (EMDR) is a trauma-focused approach that helps reduce the emotional intensity of painful memories and reactions; it can be applied when trauma or abuse affects daily functioning.Choosing the right approach is a collaborative process. The therapist will discuss goals, try techniques, and adjust the plan based on what helps most. Sessions mix skill practice, gentle challenge, and ongoing review so the work stays aligned with the client's needs and preferences.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video is useful for face-to-face conversation and practicing skills together, phone calls work well when bandwidth is limited, and chat or messaging can fit quick check-ins or support between sessions. These options make it easier to fit therapy around work, caregiving, travel, or other commitments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Missouri
- Languages
- English
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