Michelle Tiger, LCSW

Michelle Tiger is a Licensed Clinical Social Worker (LCSW) based in Pennsylvania with 4 years of professional experience. She works with adults across a wide range of life challenges, including relationship difficulties, trauma and abuse, parenting concerns, depression, anxiety, stress, addictions, grief, intimacy-related issues, sleep problems, anger, self-esteem, career concerns, bipolar disorder, and compassion fatigue. Her practice also addresses more specific areas such as abandonment, attachment and blended family issues, caregiver stress, chronic illness and pain, codependency, communication problems, divorce and separation, and domestic violence.

Michelle blends a compassionate, client-centered style with evidence-based techniques to support practical change. She offers coaching around job searching and employment challenges in addition to psychotherapy, and she encourages small, sustainable adjustments in movement, exercise, and nutrition to support overall well-being. In sessions she and the client work together to identify goals, explore negative thought patterns and behaviors that contribute to feeling stuck, and develop strategies to move forward.

Michelle provides care in English and accepts international clients. She offers flexible ways to work together, including video calls, phone sessions, live chat, and text-based messaging. As a therapist and ally to LGBT clients, she aims to create a respectful, nonjudgmental environment and to partner with each person in building resilience and achieving meaningful progress.

Therapeutic Approaches and Online Support

Michelle uses Acceptance and Commitment Therapy (ACT) to help people clarify their values and take meaningful action even when difficult thoughts or feelings are present - this approach can be useful for stress, anxiety, and life transitions. She also applies Cognitive Behavioral Therapy (CBT) to identify and shift unhelpful thinking and behavior patterns, which can be effective for depression, anxiety, sleep difficulties, and coping with challenging situations. In keeping with a client-centered approach, Michelle creates a supportive, nonjudgmental space where the client's goals guide the work and the therapist follows the client's pace.

Finding the right mix of methods is part of the therapeutic process. Michelle collaborates with clients to determine which approaches best match their needs, goals, and preferences, adjusting strategies over time as progress unfolds.

Online therapy offers practical flexibility - sessions can take place through video calls, phone conversations, live chat, or text-based messaging. These options make it easier to fit support into busy schedules, access care from different locations, and maintain continuity of treatment when life circumstances change. Licensed professionals and therapists can adapt these formats to provide structured, goal-oriented work that suits each client's rhythm and routine.