About Cara
Cara Tuley is an Ohio-based licensed professional clinical counselor (LPCC) with 33 years of experience. She meets people where they are and focuses on practical ways to manage stress, anxiety, depression, and other life challenges. Cara uses familiar, straightforward language so parents can read quickly and know what to expect.
Cara blends several approaches to fit each person’s needs. She draws on Cognitive Behavioral Therapy (CBT) to help people notice and shift unhelpful thinking patterns.
How Cara works
Acceptance and Commitment Therapy (ACT) and mindfulness techniques are used to build flexibility and calm in daily life. Dialectical Behavior Therapy (DBT) skills and client-centered listening are also part of her toolkit when emotion regulation or strong feelings are involved.
Clients bring many kinds of concerns, including trauma and abuse, grief, addictions, relationship or intimacy-related issues, parenting strain, sleeping problems, and career stress. She also works with anxiety, ADHD, bipolar concerns, compassion fatigue, and body image or self-esteem struggles. Additional focuses include attachment issues, blended family dynamics, chronic illness and caregiver stress.
Sessions have been offered in person and online, and Cara has experience working with people across state lines and internationally. She keeps sessions practical, using short skills practice, discussion, and goal-focused planning. Expect clear steps you can try between sessions.
Her style is accepting and nonjudgmental. The goal is to find manageable changes that fit a family’s daily routine or an individual’s work life. Cara emphasizes collaboration and steady progress over time.
Cara lists 9 ways of working on the entry:
What Cara works with
The areas below are the ones Cara selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- LGBT
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Training and background
| Register | LPCC |
|---|---|
| Years in practice | 33 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Ohio |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Practical approaches for online therapy and skill building
Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings without getting stuck in them, and then choosing actions that match your values. This approach can help with anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and teaches simple exercises to change unhelpful patterns. CBT is often used for anxiety, insomnia, and mood concerns. Mindfulness Therapy offers short practices to calm the nervous system and increase awareness of moment-to-moment experience, which can help with stress, anger, and emotional overwhelm.Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what feels manageable. Together they will try techniques and adjust the plan based on what helps most, mixing ACT, CBT, mindfulness, or DBT skills as needed.
Online therapy offers flexible ways to connect. Video calls allow face-to-face conversation and screen sharing for worksheets. Phone sessions can work when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging are useful for quick support, homework check-ins, or when writing is easier than speaking. These options make it simpler to fit therapy into a busy life and to keep progress between sessions.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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