Tamie O'Neil, LMHC

Tamie O'Neil is a Licensed Mental Health Counselor (LMHC) based in New York with 12 years of clinical experience. She works with a broad range of mental health concerns, including anxiety, depression, bipolar disorder, trauma and abuse, grief and loss, eating and sleeping difficulties, addictions, and intimacy-related issues. Her practice also addresses relationship and family dynamics, parenting challenges, attention-deficit hyperactivity disorder, compassion fatigue, and a range of mood and panic-related conditions. Additional focus areas include blended family issues, caregiver stress, commitment and communication problems, impulsivity, isolation and loneliness, midlife transitions, and financial stressors.

Tamie has experience as a crisis counselor, providing support to individuals experiencing suicidal thoughts by helping them meet basic needs, develop coping strategies, and identify a support network. Her clinical approach is rooted in a client-centered framework that prioritizes building a strong therapeutic relationship and meeting people where they are. From that foundation she collaborates with clients to define clear goals and to map practical steps for reaching them. She draws on cognitive behavioral techniques, solution-focused methods, mindfulness practices, and motivational interviewing to tailor interventions to each client's needs.

Seeking support is an important step toward emotional wellness, and Tamie aims to empower clients to make meaningful changes and lead more fulfilling lives through compassionate, goal-oriented care.

Therapeutic Approaches and Online Care

Tamie O'Neil integrates client-centered therapy into online work by prioritizing the therapeutic relationship and tailoring sessions to each person's experience. This approach focuses on listening, validation, and collaborative goal-setting so clients feel understood and supported as they identify what they want to change.

Cognitive Behavioral Therapy, or CBT, is used to help clients recognize and adjust unhelpful thinking and behavior patterns. In online sessions CBT can be applied to concerns such as anxiety, depression, panic, and stress by developing practical strategies and homework that clients can practice between appointments.

Mindfulness-based techniques help clients build present-moment awareness and manage emotional reactivity. These practices can support coping with trauma responses, sleep difficulties, and ongoing stress by teaching simple attention and breathing skills that translate well to remote formats.

Finding the right approach is part of the therapeutic process, and Tamie works collaboratively with each person to determine which combination of methods best fits their needs, goals, and preferences. She tailors treatment plans and adjusts strategies over time to align with progress and changing priorities.

Online therapy offers flexibility in how care is delivered. Clients can meet by video call or phone, or use live chat and text-based messaging for shorter or more frequent check-ins. This range of options can make it easier to fit therapy into busy schedules and to maintain continuity of care across different locations, while working with licensed professionals and therapists who adapt methods to remote sessions.