About Tina
Tina Echterling uses a client-centered approach to guide people through stress, anxiety, addictions, depression, and life transitions. She is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) practicing in Indiana. Her tone is direct and practical, and she aims to make the first steps manageable for someone who is worried or unsure about starting therapy.
Tina focuses on building an honest, nonjudgmental space where people can talk about what is hard.
Background and approach
Sessions are conversational and goal-focused. She encourages straightforward work on coping skills, emotion regulation, and communication habits that get in the way of daily life. Her background includes nine years of clinical work helping people with relationship concerns, grief, trauma and abuse, and substance-related problems.
She also supports those facing family of origin issues, codependency, and problems with self-esteem or body image. Tina draws on techniques from cognitive behavioral therapy and dialectical behavior therapy when helpful. Motivational interviewing and narrative therapy inform her approach to change and meaning-making.
Those methods help people find their own reasons for change and reframe difficult life stories into more workable narratives. She balances skill teaching with listening to each person’s experience. Tina describes herself as a dive-right-in therapist who partners with clients to set clear goals.
She emphasizes practical tools and steady progress. If someone is ready to try different ways of coping, she helps design a plan and track small, useful steps forward.
Therapeutic approaches adapted for online care
Client-centered therapy focuses on listening and reflecting what matters to the person. In online sessions this means the therapist helps people name their priorities and sets goals together while following the client's lead. Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and behaviors interact; it uses practical exercises to change unhelpful patterns and is useful for anxiety, depression, and coping skills work.Finding the right approach is part of the work. The therapist will collaborate with the person to choose or combine methods based on needs, goals, and preferences. That conversation happens early and can shift as progress is made, so the plan stays aligned with what helps most.
Online therapy offers flexible ways to connect: video calls for deeper conversation, phone sessions when video isn't possible, live chat for quick check-ins, and text-based messaging for ongoing support between sessions. These options help people fit therapy into busy schedules, match comfort with technology, and choose shorter or longer contacts as needed.
Questions people ask
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What this counselor works with
Most often
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Jealousy
- Life purpose
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Indiana, Oregon
- Languages
- English