Michelle Tiger , LCSW

Michelle Tiger is a Licensed Clinical Social Worker (LCSW) who focuses on practical ways to help people feel better. She draws on several evidence-based methods to address stress, anxiety, depression, sleep problems, and relationship challenges. Michelle is based in Pennsylvania and offers services in English for local and international clients.

She emphasizes a client-centered, compassionate approach. Sessions start by naming the problem and setting clear, realistic goals. Michelle helps people notice unhelpful thought patterns and test new behaviors that fit their values. She also provides coaching around job searches and workplace concerns.

Before working as a therapist, Michelle spent time in aging services, hospice, home care, and community re-entry programs. That background informs how she supports people facing caregiving strain, chronic illness, disability, or life transitions. She has experience with addictive behaviors, grief, and trauma-related struggles.

Therapy often includes short practical exercises and small steps to build momentum. Michelle encourages movement, better sleep habits, and nutrition as parts of overall well-being. She frames change as incremental and focuses on what a person can do today to feel more capable.

Michelle identifies as an LGBTQ+ ally and works with clients on intimacy, self-esteem, and career concerns in addition to parenting and family-related stress. She invites people to discuss goals and choose approaches that match their needs.

How therapeutic approaches fit into online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most and take actions that align with those values. ACT is useful for anxiety, life transitions, and coping with chronic stress by focusing on meaningful steps rather than perfect feelings. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep problems going and teaches practical skills to change them. CBT is often used for depression, anxiety, insomnia, and problem-solving in daily life. Motivational Interviewing is a conversational style that helps people find their own reasons to change, which can be useful for addictions, ambivalence about health choices, or beginning a new routine.

Finding the right approach is part of therapy. The therapist collaborates with each person to choose methods that match their goals and preferences. Over a few sessions, they will try techniques together and adjust the plan based on what works and what feels manageable.

Online sessions can be done by video call, phone, live chat, or text-based messaging to fit different needs. Video calls support face-to-face conversation and visual cues. Phone sessions use less bandwidth and can be a good option for shorter check-ins. Live chat and text messaging allow ongoing brief check-ins, homework sharing, and flexibility across the day. These formats make it easier to fit therapy into busy schedules and to keep work moving forward between sessions.