About Tina
Tina Okenfuss is a licensed professional counselor who has spent eight years helping people facing depression, anxiety, stress, trauma, and low self-esteem. She focuses on everyday struggles and major life changes like grief, divorce, and shifts in identity. Tina aims to make the first step feel manageable for someone worried and unsure about therapy.
Her style is warm and direct. She meets people where they are and partners with them to set clear, doable goals.
Background and approach
Sessions focus on practical skills to cope with intense emotions, manage stress, and rebuild a sense of purpose. Tina uses proven, evidence-based therapeutic techniques to guide the work. That can include learning new ways to handle upsetting thoughts, practicing skills to reduce anxiety, and building stronger patterns in relationships.
The aim is steady, real-world progress rather than quick fixes. She also pays attention to complex histories and overlapping concerns. This includes issues like abandonment, attachment differences, adoption and foster care experiences, chronic health challenges, caregiver stress, body image, and codependency.
Tina helps people sort priorities and take steps that fit their life. Sessions are offered in English and can include video calls, phone sessions, live chat, or text-based messaging. Tina emphasizes respect for each person’s values and life story while helping them find what works now.
How evidence-based methods translate to online care
Many of the techniques Tina uses are practical and fit well into online sessions. Cognitive approaches help people notice and change unhelpful thought patterns that fuel anxiety and depression; these methods focus on simple exercises and daily practice to shift thinking. Skills-based strategies for stress and emotion regulation teach breathing, grounding, and activity planning to reduce overwhelm and improve day-to-day functioning. Finding the right approach is a joint process. The therapist will work with each person to pick methods that match their goals, needs, and comfort with different formats. That collaborative planning means techniques can be adapted if something isn’t working. Online therapy offers flexible ways to connect. Video calls allow real-time conversation and visual cues, phone sessions can work when bandwidth or camera use is limited, live chat lets someone check in during a busy day, and text-based messaging supports brief updates or ongoing reflection. These options help people fit therapy into work, caregiving, or health-related schedules while keeping the focus on steady progress and practical tools.Questions people ask
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What this counselor works with
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- 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
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Experience
- 8 years
- Licensed
- Arkansas
- Languages
- English