About Tiffany
Tiffany Costello is a Licensed Professional Counselor (LPC) based in Colorado with seven years of clinical experience. She focuses on helping people manage stress and anxiety, work through trauma and abuse, and handle major life and career changes. Tiffany aims to meet clients where they are with respect and compassion.
She works with people coping with grief, low self-esteem, depression, and addictions. She also supports those facing relationship and intimacy struggles, workplace stress, and issues tied to family of origin.
Background and approach
Tiffany pays attention to patterns like abandonment and attachment struggles, control issues, and difficulties with communication. Her approach is practical and individualized. Conversations and plans are tailored to each person’s needs.
She emphasizes clear, real-world steps you can try between sessions. Tiffany also focuses on panic attacks, social anxiety, and other anxiety-related problems. She helps people reduce avoidance, build coping skills, and practice small exposures to help confidence grow.
For young adults and women, she addresses life-stage challenges and workplace pressures. She offers a supportive coaching element for people wanting guidance on goals and career moves. Compassion fatigue and LGBT concerns are included in her work.
Tiffany aims to empower people as they take steps toward change and a more satisfying life. Sessions may be adapted for phone, video, chat, or text formats so people can choose what fits their routine. She accepts clients in English and works with international clients when appropriate.
Therapeutic techniques and how they work online
Tiffany relies on evidence-based therapeutic techniques that focus on skills and real-life practice. One common approach focuses on building coping skills for anxiety and panic - teaching breathing, grounding, and stepwise exposure to feared situations to reduce avoidance and increase confidence. Another approach centers on processing trauma and abuse by helping people tell their story at a pace that feels manageable and by developing strategies to reduce distressing reactions.Finding the right mix of techniques is a collaborative process. The therapist and client will talk about goals, try methods, and adjust the plan together so it fits the person’s needs and preferences. Tiffany frames therapy as a team effort where choices are reviewed and changed as progress is made.
Online formats include video calls, phone sessions, live chat, and text-based messaging, and each has practical benefits. Video allows face-to-face conversation for more nuanced interaction. Phone sessions can work well when bandwidth is limited or when being off-camera feels easier. Live chat and text messaging offer short check-ins, quick coaching between sessions, and a flexible way to fit therapy into a busy day.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- Abandonment
- Addictions
- Attachment issues
- Career difficulties
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Panic disorder and panic attacks
- Self esteem
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 7 years
- Licensed
- Colorado, Missouri, Iowa
- Languages
- English
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