Tammy Piazza, LMHC

Tammy Piazza is a Licensed Mental Health Counselor (LMHC) practicing in New York with seven years of experience supporting people who face co-occurring substance use and mental health challenges, including anxiety, depression, bipolar disorder, and post-traumatic stress.

She uses a person-centered approach, meeting individuals where they are and collaborating to develop practical coping skills, self-soothing techniques, and strategies for moving forward. Tammy is trained in Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Dialectical Behavior Therapy (DBT), and Eye Movement Desensitization and Reprocessing (EMDR), and she adapts these methods to fit each person's needs and goals.

Her practice addresses a range of concerns such as stress, addictions, trauma and abuse, grief, sleep disturbances, parenting challenges, anger, self-esteem, ADHD, and compassion fatigue, along with related areas like codependency, communication problems, and forgiveness. Tammy welcomes people who want to learn new tools for managing symptoms and improving daily functioning and encourages prospective clients to reach out to explore next steps.

Therapeutic Approaches Delivered Online

Tammy integrates client-centered therapy, Cognitive Behavioral Therapy (CBT), and EMDR into her online practice. Client-centered therapy focuses on understanding each person's experience and building a trusting, nonjudgmental relationship so that goals and solutions emerge from the client's own perspective. Cognitive Behavioral Therapy helps people identify unhelpful thought and behavior patterns and learn practical skills for managing anxiety, depression, urges, and everyday stressors. EMDR supports processing of traumatic memories and the reactions they trigger, which can be helpful for people recovering from abuse, accidents, or other traumatic events.

Choosing the right approach is part of the therapeutic process. Tammy works collaboratively with each person to identify which methods align with their needs, goals, and preferences, adjusting the plan as progress is made.

Online sessions - whether by video call, phone, live chat, or text-based messaging - offer flexibility for scheduling and make it easier to maintain continuity during life changes. These formats allow therapists and licensed professionals to deliver consistent care while accommodating work, family, or geographic constraints.