About Tiffany
Tiffany Hilke is a licensed professional counselor (LPC) practicing in Missouri with nine years of clinical experience. She focuses on helping people facing stress, anxiety, depression, and concerns related to LGBT identity. Tiffany aims to make the first step into therapy feel manageable and straightforward for someone who is worried or unsure.
She creates a space where clients can speak and be heard. Sessions include listening, practical tools, and gentle education about how patterns form and change.
Background and approach
Tiffany emphasizes steady support, clear boundaries, and regular check-ins to build momentum over time. Her approach draws on client-centered and solution-focused methods, with attention to mindfulness and trauma-informed care when needed. That means she starts with a person’s goals, looks for small, useful steps, and uses breathing and awareness practices to reduce overwhelm.
Tiffany also works with issues like grief, anger, career stress, compassion fatigue, and ADHD-related challenges. She helps people sort through family concerns, communication problems, and life transitions in plain language and practical plans. Clients can expect collaborative planning and a focus on what will help most right now.
Tiffany supports building a steady support system that fits each person’s life and needs. She invites people to bring their real concerns and to take change one step at a time.
How her approaches translate to online therapy
Client-centered therapy focuses on listening and following the client’s lead. Online sessions allow conversations to center on what matters most, whether that is anxiety, mood, or life transitions. Mindfulness therapy teaches simple awareness and breathing practices to reduce tension. These can be guided in a video call or reinforced through brief text reminders between sessions.Tiffany works with clients to choose the best approach together. She will ask about goals, preferences, and how symptoms show up day to day. That collaborative process helps decide whether to focus on short-term problem solving, breathing and grounding skills, or trauma-informed pacing.
Using online formats gives practical flexibility. Video calls are useful for in-depth conversations and skill demonstrations. Phone sessions can fit a short slot when camera time is hard, while live chat or text-based messaging can be used for quick check-ins, step-by-step plans, or ongoing support between meetings. These options make it easier to keep therapy consistent around work, family, and other obligations.
Questions people ask
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What this therapist works with
Most often
Also listed
- Abandonment
- ADHD
- Anger management
- Body image
- Career difficulties
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Family conflicts
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Missouri
- Languages
- English
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