- LGBT issues
- Trauma and abuse
- Career questions
About Tiffany
Tiffany Ruff is a Licensed Professional Counselor (LPC) in Michigan with seven years of professional experience. She works with adults facing stress, anxiety, addictions, work and career questions, and life changes. She also helps with LGBT concerns, family conflict, trauma and abuse, and issues common to young adults.
Tiffany uses straightforward, conversation-based sessions to help people set goals and make small, practical changes. She draws on client-centered methods to listen and reflect, cognitive behavioral tools to challenge unhelpful thoughts, and solution-focused techniques to identify next steps. Mindfulness practices and trauma-focused strategies are included when they fit the person’s needs.
In sessions she prioritizes clear goals and measurable progress. That can mean setting short-term steps for coping with cravings, planning actions for career shifts, or practicing skills to reduce anxiety. She will work with each person to choose approaches that match their situation and pace.
Her background includes work with at-risk youth and returning citizens, which informs how she plans realistic steps and examines barriers. Tiffany aims to help people who feel stuck after a relationship, job, or health change figure out practical options and small experiments.
People come to her when they want help sorting priorities, building self-esteem, or exploring life purpose. She offers support for sexuality questions and traumatic brain injury concerns alongside more common struggles like stress and depression.
How therapeutic approaches translate to online work
Client-centered therapy focuses on listening and reflecting to help people clarify what matters to them. Online sessions using this approach let a therapist mirror your concerns and help you name priorities and next steps. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. In an online setting CBT can involve brief exercises, thought records, and planning concrete behavioral experiments to test new ways of acting. Mindfulness Therapy offers simple attention and breathing practices to reduce reactivity and increase focus. These practices can be guided in a session and then practiced between meetings as short exercises. Finding the right mix of approaches is part of the work. Tiffany will collaborate with each person to decide whether client-centered conversation, CBT tasks, mindfulness, or trauma-focused techniques fit best for their goals and comfort level. Confirm the available session formats before booking since the biography does not list them. Online options can make it easier to fit therapy into a busy life by reducing travel time, allowing shorter check-ins when needed, or removing the need to be on camera for parts of a session. Talk with the therapist when you schedule to pick a format and pace that match your day-to-day needs.Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
7+ years
Listed in
Michigan
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, addictions, family conflict, LGBT concerns, trauma and coping with life changes, plus career and self-esteem issues.
How would she approach feeling stuck or directionless?
She combines client-centered conversation with practical tools from CBT and solution-focused work to set small, achievable steps toward clearer direction.
How much experience does she have?
She has seven years of professional experience working in mental health settings and with populations such as at-risk youth and returning citizens.
What are her credentials and where does she practice?
She is a Licensed Professional Counselor (LPC) licensed in Michigan and practices there.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not currently accepting international clients.
What session formats does she offer?
The original biography does not specify session formats; confirm current session options before booking.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.