Tiffany Costello , LPC

Tiffany Costello is a Licensed Professional Counselor with seven years of experience working from Colorado. She focuses on practical ways to reduce stress and anxiety, cope with grief, and heal after trauma and abuse. Tiffany also helps people facing career shifts, addiction concerns, and relationship or intimacy-related struggles. She approaches each person with respect, sensitivity, and compassion. Tiffany builds straightforward plans based on what the person needs. Sessions are centered on clear goals and small steps people can use between meetings. She helps people identify patterns such as attachment or control issues, work through guilt and shame, and practice healthier communication. Many clients come for help with panic attacks, social anxiety, or feelings of isolation. Tiffany also supports those dealing with workplace problems, young adult transitions, and women's issues. She pays attention to family of origin dynamics without assuming what someone should do. Her style is collaborative and goal-oriented. Tiffany listens first, then offers tools that fit the person’s life. Conversations focus on skills for coping with strong emotions, improving relationships, and moving through major life changes. Tiffany tailors the pace to each person. She encourages people to take small, manageable steps toward change. The emphasis is on practical progress and on building confidence over time.

Evidence-based approaches for online care

Tiffany uses evidence-based therapeutic techniques that focus on coping skills and emotional processing. One common approach is skills-focused work that teaches concrete strategies to manage anxiety and panic attacks, such as breathing, grounding, and step-by-step exposure to feared situations. These tools are aimed at reducing immediate distress and building long-term tolerance for uncomfortable feelings.

She also emphasizes trauma-informed processing to help people work through the impacts of abuse or other painful events. This involves pacing the work to match the person's readiness, naming patterns that come from past experiences, and introducing techniques to reduce overwhelming reactions. For relationship and intimacy-related concerns, she helps people improve communication and address attachment or control issues through structured conversations and practical exercises.

Finding the right approach is a collaborative process. Tiffany will work with each person to choose techniques that match their goals, preferences, and day-to-day life. Together they review what helps and adjust the plan as needed so the work stays useful and realistic.

Online sessions offer flexibility for busy lives. Video calls let people have face-to-face conversation when more interaction is helpful. Phone sessions can be a lighter option when bandwidth or scheduling is limited. Live chat and text-based messaging support quick check-ins, between-session coaching, or shorter conversations when a full session is not possible. These formats make it easier to fit therapy into work, school, or parenting schedules.