About Tiffany
Tiffany Costello is a licensed professional counselor who practices in Colorado and brings seven years of clinical experience. She focuses on helping people reduce stress and anxiety and find clearer ways to cope when life feels overwhelming. Tiffany aims to offer a respectful, compassionate space for people to begin making change.
She works with issues tied to trauma and abuse and helps people process painful experiences at a pace that feels manageable.
Background and approach
Career strain and major life transitions are a common focus, with practical strategies to navigate work stress and shifting roles. Tiffany also supports those facing substance concerns, grief, and struggles with self-esteem or eating-related issues. Tiffany pays attention to relationship patterns like attachment, abandonment, and communication problems.
She helps clients explore intimacy questions and workplace or family-of-origin dynamics that keep old patterns running. People looking for help with panic, social anxiety, or anger can expect straightforward tools to lessen symptoms and build coping skills. Her approach is collaborative and tailored.
Conversations lead to short-term goals and concrete steps that fit each person’s situation rather than one-size-fits-all plans. She emphasizes compassion and respect while guiding clients through practical changes. Tiffany welcomes clients across identities, including LGBTQ concerns and women's issues, and she communicates in English.
She accepts international clients and adapts session formats to meet logistical needs.
How evidence-based approaches work online
Many clients benefit from clear, structured techniques that aim to reduce symptoms and build skills. One common approach focuses on stress and anxiety management through practical tools like breathing exercises, behavioral experiments, and step-by-step plans to face fears. This helps with panic attacks, social anxiety, and day-to-day worry.Another helpful method centers on processing trauma by pacing memory work and teaching grounding and coping skills first. That approach supports people who have experienced abuse or overwhelming events by giving skills to manage intense feelings before addressing painful memories.
Choosing the right approach is a team effort. The therapist will review goals, preferences, and what has or hasn’t worked before, then suggest methods that fit. Clients and the therapist adjust the plan over time so it stays useful and relevant.
Online therapy with Tiffany can happen by video call, phone, live chat, or text-based messaging. Video lets you see facial cues and run longer sessions, phone calls can be easier when bandwidth is limited, live chat and messaging work well for quick check-ins or brief coaching between sessions. These options make scheduling more flexible and help therapy fit into busy lives.
Questions people ask
What kinds of concerns does she help with?
What is her therapy style like?
How much clinical experience does she have?
Where is she licensed and based?
Can I work with her if I live outside the U.S.?
What formats are available for sessions?
How does payment and cost work?
How do I begin working with her?
What this counselor works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- Abandonment
- Addictions
- Attachment issues
- Career difficulties
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Panic disorder and panic attacks
- Self esteem
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 7 years
- Licensed
- Colorado, Missouri, Iowa
- Languages
- English