Tammy Piazza

Tammy Piazza is a licensed mental health counselor (LMHC) based in New York who helps people facing stress, anxiety, addiction, trauma, anger, mood shifts, and related concerns. She speaks plain, practical language and focuses on helping clients find day-to-day tools that make life more manageable. Tammy aims to meet each person where they are and start from what feels realistic for them.

Her background includes seven years of clinical work supporting people with co-occurring substance use and mental health concerns. Tammy uses a person-centered style that keeps the client's priorities central while drawing on structured techniques when helpful. That mix lets her teach coping skills and self-soothing strategies while also addressing patterns that keep problems repeating.

Tammy draws from cognitive behavioral therapy, dialectical behavior therapy, emotionally focused methods, and EMDR approaches. She adapts these methods to common struggles like panic, depression, grief, sleep issues, codependency, and communication difficulties. Sessions involve skill practice, examining unhelpful thinking, and working through past events when the client is ready.

Many people come for help with anger, substance concerns, parenting stress, or burnout from caregiving. Tammy also supports work around self-esteem, life purpose, and women’s issues. She aims for clear goals, steady progress, and practical tools clients can use between sessions.

To begin, a person can complete a short matching questionnaire and schedule a meeting based on therapist availability. Tammy uses a subscription model for sessions that can be canceled at any time.

How Tammy’s Methods Translate to Online Work

Client-centered therapy focuses on understanding the person’s goals and pacing the work around what feels manageable. Online sessions using this approach start with what the client wants to change and build small, realistic steps toward those goals.

Cognitive behavioral therapy (CBT) helps identify unhelpful thoughts and replace them with practical alternatives. In online sessions this can mean doing thought records, behavior experiments, and short homework tasks that fit into daily life. Dialectical behavior therapy (DBT) emphasizes emotion regulation, distress tolerance, and improved communication skills - useful for people dealing with anger, panic, or strong mood swings.

Choosing the right approach is a collaborative process. The therapist will work with the client to decide which methods suit their needs, goals, and preferences, and will adjust the plan as progress is made.

Session options should be confirmed before booking since formats are not specified here. In general, online therapy can make it easier to fit appointments into a busy day, allow shorter check-ins when needed, and let clients practice skills between meetings. Ask about the available session formats when scheduling to find what works best.