Tina Echterling , LPC, LMHC

Tina Echterling is a licensed professional counselor (LPC) and a licensed mental health counselor (LMHC) in Indiana. She brings nine years of clinical experience helping people manage stress, anxiety, depression, and addiction concerns. Tina aims to make starting therapy straightforward and respectful of each person's courage in reaching out.

Tina centers sessions on listening first. She creates space for people to say what they are feeling without judgment. That sets the stage for practical steps people can try between meetings to ease daily strain and improve coping skills.

Her work often addresses relationship strain, grief, and the effects of trauma and abuse. Tina also supports those facing issues related to body image, codependency, commitment worries, and family of origin concerns. She is experienced in helping people from LGBT backgrounds navigate related pressures and life decisions.

Tina uses a mix of approaches to match the person and the problem. She draws on client-centered methods to prioritize a person's voice, cognitive behavioral techniques to shift unhelpful thinking, and motivational interviewing to support change when people feel stuck. Narrative therapy and dialectical behavior strategies are also part of her toolbox when needed.

People can expect direct, collaborative sessions that balance practical tools and open conversation. Tina encourages small steps and regular check-ins to track progress. She supports people through transitions such as divorce, career shifts, aging concerns, and recovery from substance use.

How Tina blends approaches for online work

Tina often uses client-centered therapy to make sure the person's experience and goals lead the conversation. This approach focuses on listening, reflecting what someone says, and helping them feel heard before moving to practical changes.

She also uses cognitive behavioral therapy or CBT to identify unhelpful thoughts and try small experiments to change them. CBT is useful for anxiety, depression, and stress because it gives clear steps people can try between sessions. Dialectical behavior therapy or DBT skills may be used to build emotional regulation, distress tolerance, and improved communication when strong emotions get in the way.

Choosing the right approach is a team effort. Tina works with each person to decide which methods fit their goals and daily life. She checks in regularly and adapts techniques based on progress and preference.

Online therapy offers flexible ways to connect through video calls, phone sessions, live chat, or text-based messaging. Video sessions allow face-to-face conversation, phone sessions can be easier when bandwidth is limited, live chat is useful for brief check-ins, and messaging supports ongoing reflection between meetings. These options help people fit therapy into busy schedules and continue work on goals wherever they are.