Tammie Makely , LMFT

Tammie Makely is a licensed marriage and family therapist who helps people manage stress, anxiety, depression, relationship troubles, trauma and the pain of loss. She works with people who feel overwhelmed by grief or stuck in patterns that hurt their connections and daily life. Tammie recognizes that starting therapy takes courage and speaks to that first step with warmth and straightforward support.

She keeps sessions simple and direct. Conversations focus on what feels most urgent and practical next steps. Tammie encourages talk about feelings, behaviors, and the events that shaped them so clients can try different ways of coping and relating.

Over 13 years in California practice, she has helped people handle issues such as abandonment, attachment struggles, body image, caregiver stress, and communication problems. She also supports people navigating divorce or separation, guilt, shame, and impulsivity. Her work includes addressing mood disorders, money worries, and isolation.

Tammie aims to create an open, nonjudgmental space where clients can share honestly. She listens closely and offers clear feedback and options rather than jargon. Together with each person she outlines steps they can practice between sessions to build steady change.

Sessions are offered in English and use formats that fit busy lives. The initial match and scheduling process is straightforward to help people begin when they are ready.

Approaches that guide online sessions

Two evidence-based ways of working often seen in her sessions are focused, practical problem-solving and processing difficult experiences through structured conversation. Practical problem-solving helps people break down stressors and try small, manageable changes to feel less overwhelmed. Processing difficult experiences involves talking through what happened, identifying the emotional impact, and practicing new responses when similar situations arise.

Finding the right fit is a collaborative process. The therapist will talk with each person about their goals, preferences, and what feels most helpful. Together they decide which approach to use and adjust it over time based on what works best for the client.

Online formats provide flexible options for different needs. Video calls allow face-to-face conversation and visual cues. Phone sessions can be useful when bandwidth is limited or for a shorter check-in. Live chat and text messaging offer quick ways to share thoughts between sessions or when typing is easier. These choices help people fit therapy into work, caregiving, and other routines while keeping the focus on practical progress.