- Stress and anxiety
- Trauma and abuse
- Communication skills
About Tiffany
Tiffany Pulliam is a Licensed Professional Counselor with Mental Health Service Provider designation (LPC-MHSP) in Tennessee and has five years of clinical experience. She works with adults who are facing anxiety, trauma and abuse, depression, relationship strain, stress, and burnout. Tiffany also focuses on communication problems, guilt and shame, and questions about life purpose.
She uses practical strategies drawn from cognitive behavioral approaches to help people notice and change unhelpful thinking and behavior patterns. Tiffany incorporates eye movement desensitization elements and skills from dialectical behavior approaches when they fit a person's needs. Sessions emphasize clear techniques and skill building rather than abstract theory.
In conversation she helps people name what feels most pressing and choose small, manageable steps. That might mean learning grounding practices for overwhelm, trying new ways to set boundaries, or practicing different communication moves before a hard talk. She encourages steady skill practice between sessions to make changes feel more manageable.
Tiffany aims to make sessions straightforward and collaborative. She listens for patterns that keep someone stuck, offers tools to interrupt them, and revisits what does and does not help. Over time the focus is on increasing confidence in handling everyday stressors and decisions about next steps.
She works in English and provides care in Tennessee. People who want to begin are asked to use the site's intake flow to complete a short matching questionnaire and schedule a first session.
How evidence-based approaches translate to online sessions
EMDR elements are used in brief and focused ways to help process distressing memories and reduce their intensity. In practice this can mean guided attention techniques and targeted processing to lessen the grip of traumatic images or sensations over daily life. These methods are often useful for people with trauma, anxiety, or intrusive memories.Cognitive behavioral techniques focus on spotting unhelpful thoughts and changing behaviors that reinforce distress. That looks like setting small, measurable goals, practicing new responses between sessions, and tracking how thoughts affect mood and actions. This approach helps with anxiety, depression, and decision-making about next steps in life transitions.
Dialectical behavior skills offer concrete tools for managing strong emotions and improving communication. Skills include distress tolerance for intense moments, emotion regulation strategies, and interpersonal effectiveness for clearer conversations. These tools are practical for relationship strain, overwhelm, and problems with setting boundaries.
Choosing the right mix of methods is a collaborative process. The therapist will work with the client to identify what feels most useful and adjust techniques over time. That shared planning helps match methods to personal goals, needs, and preferences.
The biography does not list specific online session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when a full hour is not needed. Discuss format preferences during the intake so sessions can be shaped to practical needs.
Areas of expertise
Primary focus
Additional focus areas
Experience
5+ years
Listed in
Tennessee
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with adults coping with stress, anxiety, depression, trauma and abuse, relationship strain, and burnout. Additional focuses include communication problems, guilt and shame, and life purpose questions.
How does she approach someone who feels stuck?
The approach uses practical techniques from cognitive behavioral methods plus elements of EMDR and DBT when helpful. Sessions focus on identifying patterns, learning skills, and trying small changes between meetings.
How much clinical experience does she have?
She has five years of experience working with adults in therapeutic settings. That experience includes helping people with anxiety, trauma, depression, and relationship concerns.
What credential does she hold and where is she based?
She is a Tennessee LPC-MHSP, which stands for Licensed Professional Counselor with Mental Health Service Provider designation. Her practice is located in Tennessee.
In which language are sessions conducted?
Sessions are offered in English. International clients are not currently accepted.
Which session formats are available?
The original biography does not specify session formats. Please confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing is provided during the site's intake or payment steps.
What should I do to begin?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session through the site. That starts the intake and scheduling process.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.