Julie Tirella , LCSW

Julie Tirella uses a client-centered approach to guide people through stressful life moments and persistent mood concerns. She is a licensed clinical social worker, LCSW, practicing in Florida with 18 years of experience. Julie listens carefully and helps people notice what matters most to them.

She helps with anxiety, stress, depression, and mood disorders including bipolar conditions. People also seek her support for trauma and abuse, grief and loss, and problems with substance use and eating. Relationship and intimacy concerns, self-esteem struggles, and issues that touch family life are also common topics in her work.

Her sessions focus on clear goals and practical steps. Julie blends cognitive behavioral techniques with client-centered conversation to identify patterns and try small changes. She also draws on psychodynamic ideas to look at long-standing themes and on motivational interviewing to strengthen resolve around change.

Julie aims to create a nonjudgmental space where people can say what they are feeling and think through options. She works collaboratively to find approaches that fit each person's needs and pace. That can mean short-term solution-focused work or a longer exploration of underlying issues.

People who notice mood shifts, trouble managing impulses, or persistent worry often find it useful to start with a short assessment and a plan. Julie meets people where they are and helps them build skills for handling life changes, communication problems, and the stressors that affect daily functioning.

Approach and online care that adapts to your needs

Julie combines client-centered work with cognitive behavioral therapy to help people understand feelings and make concrete changes. Client-centered therapy focuses on listening and responding to each person's experience so goals emerge from their own priorities. Cognitive behavioral therapy looks at patterns of thought and behavior and teaches practical tools for managing anxiety, depression, and mood shifts.

Finding the right approach is part of the process. Julie will collaborate with each person to decide what fits best based on their concerns, goals, and comfort level. That collaborative decision can lead to brief solution-focused work, longer exploratory therapy, or a mix of techniques tailored over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging to increase flexibility. Video works well for in-depth conversations and nonverbal cues. Phone sessions can be a good option when bandwidth is limited or when a shorter check-in fits the day. Live chat and text-based messaging make it easier to fit therapy into a busy schedule or to keep in touch between sessions.