About Cara
Cara Tuley is a licensed professional clinical counselor with 33 years of experience. She practices from Ohio and offers sessions to people in other states and internationally. Her style is direct and accepting, with an emphasis on practical steps people can use right away.
Cara blends cognitive behavioral techniques with acceptance-based approaches and mindfulness. She helps people name what is keeping them stuck and then tries simple, doable strategies to reduce anxiety, manage stress, or improve sleep.
Background and approach
Sessions focus on real-life problems like relationship strain, grief, or workplace pressure. She has long experience addressing trauma, addiction, bipolar mood concerns, and compassion fatigue. Cara also supports people dealing with parenting strain, caregiving stress, chronic illness, and challenges tied to adoption or attachment.
Her approach is adaptable to each person’s situation rather than one-size-fits-all. In sessions she uses motivational interviewing and client-centered conversation to clarify goals and build motivation. Behavioral skills from dialectical behavior therapy and cognitive behavioral therapy are taught in short exercises and homework that fit busy schedules.
The aim is steady, manageable progress. Cara conducts therapy by video, phone, live chat, or text messaging depending on what works for the individual. She asks new people to complete a short matching questionnaire and then schedules sessions based on mutual convenience.
Many clients appreciate her straightforward, nonjudgmental way of helping them move forward.
Practical therapy approaches for online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting ruled by them, and then focus on actions that match their values. It can be useful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors and teaches simple exercises to change unhelpful patterns; it is often used for anxiety, depression, sleep problems, and low self-esteem. Mindfulness Therapy teaches short attention and breathing practices to reduce reactivity and improve focus, which pairs well with other strategies to manage stress and anger.Finding the right mix of approaches is part of the process. The therapist will talk with each person about their goals, try techniques in session, and adjust the plan based on what helps. That collaborative stance makes it easier to test skills and keep what works while dropping what does not.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for deeper conversations and practicing skills together. Phone sessions can be a good option when bandwidth or camera use is limited. Live chat or messaging fits brief check-ins, homework review, or people who prefer typed communication. These options make scheduling more flexible and help therapy fit into busy lives.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 33 years
- Licensed
- Ohio
- Languages
- English
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