Julie Tamisiea , LCMHC

Julie Tamisiea is a licensed clinical mental health counselor (LCMHC) based in North Carolina. She brings 15 years of experience helping people handle stress, anxiety, depression, parenting challenges, and life changes. She also supports people facing trauma, addiction concerns, self-esteem struggles, and issues around intimacy and relationships.

Julie aims for clear, practical steps in sessions. She listens first, then helps clients set small, doable goals. Sessions focus on what the client wants to change and how to make steady progress.

Her approach blends client-centered work with cognitive behavioral tools and dialectical skills. That means conversations are guided by the client’s priorities while also using skills practice, thought-behavior patterns, and emotion regulation strategies. Mindfulness and motivational interviewing are added when useful to build awareness and momentum.

Julie has worked across many concerns including grief, eating and body image issues, ADHD, bipolar concerns, caregiver stress, and career or life-purpose questions. She also assists people dealing with adoption and foster care matters, aging and geriatric issues, and first responder stress.

Sessions can take several formats to fit different schedules and needs. Julie uses a collaborative style and helps people identify what is holding them back. The focus is on practical change, steady skill-building, and finding ways to move toward a healthier, more manageable life.

How Julie Brings Talk and Skills Online

Julie uses client-centered work and cognitive behavioral therapy to guide online sessions. Client-centered work focuses on the client’s own goals and experiences, offering a supportive space to talk through problems and decide what matters most. Cognitive behavioral therapy looks at thoughts and behaviors together and teaches concrete strategies to reduce anxiety, manage mood, and change unhelpful patterns.

She also draws from dialectical behavior therapy to teach emotion regulation and distress tolerance skills when strong emotions or relationship patterns get in the way. These approaches help with stress, anxiety, trauma responses, addiction-related concerns, and parenting challenges by offering both understanding and practical tools.

Finding the right mix of approaches is a collaborative process. Julie will work with each person to identify priorities, try methods that fit their needs, and adjust as progress is made. The goal is to build skills that can be used between sessions and to create a plan that fits the client’s life.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. Video calls allow fuller interaction and skills practice, phone sessions can be easier when bandwidth is limited, live chat can work for shorter check-ins, and messaging is useful for ongoing support between meetings. These options make it simpler to fit therapy into busy schedules and to keep momentum over time.