About Tammy
Tammy Piazza helps people who are feeling overwhelmed by anxiety, stress, addiction, grief, or big life changes. She offers straightforward support for mood issues, panic, sleeping struggles, and the day-to-day work of improving self-esteem and managing anger. Tammy is a New York licensed mental health counselor - LMHC - with seven years of experience.
She uses a person-centered approach that starts by listening closely to what matters most to each person.
How Tammy works
Tammy also draws on cognitive behavioral ideas to spot unhelpful thoughts and DBT skills to teach calming and emotion regulation strategies. She incorporates techniques that can help people process trauma and reduce its hold on daily life. Sessions focus on practical skills you can use between meetings.
That can include coping tools for stress, steps to address addictive patterns, and ways to improve communication and boundaries. Tammy encourages small, achievable changes that add up over time. She is experienced supporting people facing grief, compassion fatigue, and parenting stress, and she addresses issues such as codependency, forgiveness, and life purpose.
Tammy works with mood disorders including bipolar and depression, as well as anxiety conditions like social anxiety and panic. Therapy is offered in English and is available through video calls, phone sessions, live chat, or text-based messaging. Tammy’s practice uses a subscription model that can be canceled at any time.
Tammy lists 9 ways of working on the entry:
What Tammy works with
The areas below are the ones Tammy selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- 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
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Tammy’s Approaches Work Online
Client-centered work puts the person’s needs and goals first. In practice this means Tammy listens carefully, follows your lead, and shapes the work around what feels most useful to you. Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thought patterns and teaches practical steps to change thoughts and related behaviors, which can help with anxiety, depression, and panic attacks.Dialectical Behavior Therapy, or DBT, focuses on learning concrete skills for regulating emotions, tolerating distress, and improving interpersonal effectiveness. Those skills are useful for anger, strong mood swings, and stress that feels overwhelming. Tammy will collaborate with each person to pick the approaches and specific techniques that best match their needs and goals rather than using a one-size-fits-all plan.
Online formats make it easier to fit therapy into busy lives. Video calls are good for face-to-face conversation and using worksheets or guided exercises. Phone sessions can be a simpler option when bandwidth is limited or for a shorter check-in. Live chat and text-based messaging work well for brief updates, skill practice between sessions, or when written reflection helps you process thoughts. These options provide flexibility so people can keep therapy consistent with work, parenting, and daily routines.
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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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