Tarrah Grady , LCSW

Tarrah Grady is a Licensed Clinical Social Worker who uses practical, skills-based approaches to help people manage stress, anxiety, addiction, grief, and relationship concerns. She draws on 17 years of clinical experience to guide conversations and offer tools people can try between sessions.

Tarrah meets people where they are and keeps sessions straightforward. She combines techniques from cognitive behavioral therapy and mindfulness-based approaches to help people notice unhelpful patterns and try new responses. She also uses elements of dialectical behavior therapy and EMDR when trauma or strong emotional reactions are part of the picture.

Her background includes work in hospitals, clinics, inpatient addiction treatment, prisons, schools, and suicide intervention programs. That range has shaped a practical style focused on safety, coping skills, and real-world problem solving. She has also facilitated groups and provided crisis intervention.

Tarrah earned a bachelor of social work from the University of Central Missouri and a master of social work from Washington University in St. Louis. She holds an LCSW in Missouri and has worked with a wide variety of concerns including mood disorders, trauma, ADHD, and issues related to identity and relationships.

Sessions are conversational and interactive. Tarrah emphasizes respect, compassion, and a nonjudgmental approach while helping people set goals and practice new ways of coping. She works with individuals on parenting strain, intimacy-related problems, self-esteem, and career stress among other concerns.

Therapeutic approaches that translate well to online care

Acceptance and Commitment Therapy helps people notice unhelpful thoughts and choose actions that match their values. It uses mindfulness and simple exercises to reduce avoidance and increase meaningful activity, which can help with anxiety, depression, and life transitions.

Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and behaviors. Sessions teach practical techniques for changing thinking patterns and testing new behaviors, useful for stress, sleep problems, and mood concerns. Dialectical Behavior Therapy provides skills for emotion regulation, distress tolerance, and improved communication when emotions feel overwhelming.

Choosing the right approach is part of therapy. The therapist will work together with each person to identify goals, try techniques, and adjust the plan if something does not fit. That collaborative process helps find what feels most useful for daily life.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video sessions allow face-to-face conversation and teaching of skills, phone sessions can be easier when bandwidth is limited, and chat or messaging let people check in between meetings or have shorter focused exchanges. These options make it easier to fit therapy into work, caregiving, or busy schedules.