Tammy Piazza , LMHC

Tammy Piazza is a licensed mental health counselor who helps people manage stress, anxiety, addiction, trauma, mood shifts, and issues many women face. She keeps language simple and practical so worried people can quickly understand what to expect. Tammy has seven years of experience working in mental health and aims to meet clients where they are.

Tammy uses a person-centered way of working that focuses on the client's own goals and pacing. She incorporates cognitive behavioral techniques to identify unhelpful thought patterns and build more helpful coping steps. Dialectical skills are used when emotions feel overwhelming and a steady set of tools is needed to cope.

Her background includes supporting people with co-occurring substance use and mood disorders such as depression, bipolar disorder, anxiety, and post-traumatic stress. Tammy also helps with parenting stress, grief, sleep problems, anger, and restoring self-esteem. She pays attention to communication and codependency when those issues affect relationships.

Sessions emphasize practical skills - grounding, emotion regulation, and behavior changes that can fit into daily life. For trauma, Tammy can use EMDR as one of several options to help process distressing memories. She encourages clients to try simple techniques between sessions to track progress.

Tammy practices in New York as an LMHC - Licensed Mental Health Counselor. Sessions are offered in English and include video calls, phone, live chat, or text-based messaging. She aims for a collaborative, calm approach that helps people regain steadiness and move forward.

Therapeutic approaches and online care

Client-centered therapy focuses on listening and tailoring sessions to what the person says matters most. It helps people set their own goals and move at a comfortable pace while learning practical skills. Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and actions connect and offers hands-on exercises to change unhelpful patterns and reduce anxiety or low mood. EMDR - Eye Movement Desensitization and Reprocessing - is used when trauma memories are causing ongoing distress and involves structured processing to reduce emotional charge and improve daily functioning.

Finding the right approach is part of the work. Tammy will collaborate with each person to decide which methods fit their needs and goals. Together they will try techniques, notice what helps, and adjust the plan over time so sessions feel useful and focused.

Online therapy offers several practical advantages. Video calls let people work face-to-face from different locations. Phone sessions require less bandwidth and can be easier when a shorter check-in is needed. Live chat or text-based messaging can fit busy days and allow brief support between longer sessions. These options aim to make it easier to use therapy in day-to-day life while pursuing the approaches described above.