Tammera Carbo , LCMHC, LMHC

Tammera Carbo is a licensed mental health counselor who helps people facing stress, anxiety, depression, grief, and women's issues. She brings a calm, direct style and a long history of practice to conversations about everyday struggles. Tammera aims to make therapy understandable and practical for people juggling work, family, and life transitions.

She has worked in inpatient, residential, outpatient, and school settings over a 33-year career. That range of settings means she is familiar with short-term and ongoing care and with people at different life stages. Tammera combines clear problem-solving with close attention to each person's story.

Her approach emphasizes how thoughts, feelings, and behavior connect. She uses Cognitive Behavioral Therapy to identify unhelpful thinking and create different responses. She also draws on Client-Centered and Narrative ideas to center a client's own goals and life story in sessions.

Tammera can include faith-based perspectives when a client requests them, and she tailors conversations to fit each person’s values. Practical homework and simple communication tools are common parts of her work.

Sessions are offered in English and conducted from North Carolina. She supports people dealing with addiction concerns, anger, trauma and abuse, intimacy questions, parenting stress, career strain, compassion fatigue, and related family-of-origin or communication problems. Tammera focuses on helping people move from feeling stuck to making steady, manageable changes.

How chosen approaches work online

Tammera commonly uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try new ways of responding. CBT often involves short exercises and homework that translate well to online sessions and phone follow-ups.

She also uses Client-Centered Therapy which focuses on listening and helping a person set their own goals. That approach emphasizes respect for a client's values and priorities and can guide session pacing and topics.

Finding the right approach is part of the work together. Tammera will talk with each person about goals, preferences, and what feels most useful. She adjusts techniques over time so therapy fits the problem and the client's life.

Online formats offer practical flexibility. Video calls let people use gestures and facial cues for deeper conversation. Phone sessions work when bandwidth is limited or when being off camera helps concentration. Live chat and text-based messaging are useful for brief check-ins, on-the-go coping tools, and ongoing support between longer sessions.

These options make it easier to fit therapy into a busy schedule and to use methods that match how a person prefers to communicate.