About Tammy
Tammy Piazza greets people with a calm, straightforward approach. She focuses on helping adults manage stress, anxiety, mood shifts, addiction concerns, and the effects of trauma. Tammy uses clear skills and steady conversation to help people feel more able to handle daily life.
She is a licensed mental health counselor - LMHC - based in New York and has seven years of clinical experience. Tammy often starts by listening to what matters most to a person and then offers practical tools they can try between sessions.
Background and approach
Sessions are aimed at building coping skills, improving sleep and mood, and addressing patterns that cause repeated painful outcomes. Tammy blends several methods to match each person’s needs. She uses client-centered techniques to keep the conversation focused on the person’s goals.
Cognitive Behavioral Therapy helps identify and change unhelpful thoughts and behaviors. Dialectical Behavior Therapy adds skills for emotion regulation and distress tolerance. For people recovering from traumatic events, Tammy can include eye movement desensitization and reprocessing to help process upsetting memories.
She also works on issues such as codependency, communication problems, forgiveness, and substance use concerns. The focus is on learning concrete strategies and practicing them in everyday life. Sessions are offered in English and can happen online by video, phone, chat, or text messaging.
Tammy supports people who want to improve relationships with themselves and others, reduce overwhelming feelings, and find clearer direction in life.
How Tammy’s Approaches Work Online
Client-centered therapy emphasizes listening and following the person’s lead. In practice this means sessions start with what the client feels is most important and then build goals from there. Cognitive Behavioral Therapy, or CBT, focuses on spotting and changing unhelpful thoughts and behaviors, which helps with anxiety, depression, panic, and mood problems. Dialectical Behavior Therapy, or DBT, adds skills for managing intense emotions, improving distress tolerance, and strengthening interpersonal effectiveness.Deciding which approach to use is a cooperative process. Tammy will talk with each person about their goals and try methods that fit those needs. She adjusts the mix of techniques as people learn skills and report what helps most, so treatment evolves with the person rather than staying fixed.
Online sessions are offered by video, phone, live chat, or text messaging to make scheduling easier. Video calls allow face-to-face conversation and visual cues, phone sessions work well when bandwidth is limited, live chat can be a brief check-in, and text messaging supports ongoing reminders or short updates between meetings. These options help people fit therapy into work, parenting, or travel routines while still working on skills, trauma processing, and emotional coping.
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Specialties and expertise
Top specialties
Also works with
- 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