About Cara
Cara Tuley uses practical, evidence-informed approaches to help people manage stress, anxiety, trauma, and life transitions. She is an LPCC with 33 years of experience and brings a steady, nonjudgmental presence to sessions. Cara emphasizes clear goals and skill-building so people leave with tools they can use right away.
Cara blends Cognitive Behavioral strategies with Acceptance and Commitment Therapy and mindfulness practices. She helps people identify unhelpful thinking, build new coping skills, and learn to tolerate difficult feelings without being overwhelmed.
Background and approach
Sessions focus on real-world steps rather than long explanations. Her work covers many concerns, including depression, addictions, grief, relationship and intimacy issues, sleep problems, anger, and career stress. She also supports people facing parenting strain, compassion fatigue, ADHD, and challenges tied to adoption, attachment, or chronic illness.
Cara adapts methods to each person’s situation and priorities. Cara has a straightforward style that mixes goal-setting, practical exercises, and moment-to-moment coaching. People can expect guided skills practice, homework when useful, and down-to-earth conversation about daily life.
She aims to make therapy feel useful and manageable. Cara has provided counseling across Ohio and beyond, working with callers by phone, video, chat, and messaging. She welcomes clients who want a calm, focused approach to change and growth.
Therapeutic approaches for online care
Cognitive Behavioral Therapy helps people notice thought patterns that increase distress and practice different responses. It is useful for anxiety, depression, sleep troubles, and relationship worries.Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking meaningful action even when feelings are uncomfortable. It pairs well with mindfulness work to help with stress, grief, and coping with chronic issues.
Finding the right approach is part of the process. The therapist will collaborate with each person to choose methods that match their goals, preferences, and daily life. Sessions often mix skills practice, reflection, and straightforward planning so people can try things between meetings.
Online therapy via video calls, phone sessions, live chat, or text-based messaging makes it easier to fit counseling into a busy schedule. Video is good for deeper conversation and visual cues, phone can work when bandwidth is limited, chat or text can suit quick check-ins or ongoing coaching, and messaging supports short updates between sessions. These formats aim to offer flexibility and practical access to care.
Questions people ask
What concerns does this therapist address?
What is the therapist's general style and approach?
How long has she been practicing?
Where is the therapist licensed and based?
Which languages and international options are available?
What session formats are offered?
How does payment and cost work?
How do I begin working with this therapist?
What this counselor 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