Cara Tuley, LPCC

Cara Tuley is a licensed professional clinical counselor with 33 years of experience. She practices in Ohio and works with people by focusing on practical tools and clear steps. Cara is open and nonjudgmental and aims to make conversations feel straightforward and human.

She uses cognitive behavioral approaches to help people identify thinking patterns that get in the way and try different responses. She also draws on acceptance and commitment ideas to help people clarify values and take committed action. Mindfulness and client-centered work are part of her style too, so sessions balance skill-building with listening and understanding.

Cara has worked with people facing stress, anxiety, depression, trauma and abuse, addiction concerns, grief, and relationship and intimacy issues. She also addresses sleep problems, parenting strain, career worries, anger, and self-esteem struggles. Additional focuses include ADHD, adoption and foster care, attachment issues, chronic illness and caregiver stress, and body image concerns.

Her approach is practical and goal-oriented. Sessions often include trying small experiments, building coping strategies, and practicing techniques between meetings. Cara invites people to name what matters to them and then test changes that match those values.

People meet with her by phone, video, live chat, or text messaging. She offers a supportive, down-to-earth way of working and helps clients map manageable steps forward.

CBT, ACT, and Mindfulness in Online Sessions

CBT, or cognitive behavioral therapy, focuses on identifying unhelpful thoughts and testing new responses. It is useful for anxiety, depression, stress, and sleep problems because it teaches clear strategies to change thinking and behavior.

Acceptance and Commitment Therapy, or ACT, helps people clarify values and take committed action even when uncomfortable feelings are present. It pairs well with CBT when someone wants both practical skills and a focus on what matters most.

Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and increase calm. Those skills support work on anger, trauma responses, and everyday stress.

Finding the right mix of approaches is part of the process. The therapist will collaborate with each person to decide which methods match their goals, needs, and preferences. That may mean trying CBT exercises for a few weeks, then adding ACT techniques or mindfulness practice based on what is helping.

Online sessions are offered by video calls, phone, live chat, or text-based messaging. Video is useful for in-depth sessions and teaching techniques. Phone can work when bandwidth is limited or a simpler check-in is needed. Chat and messaging make brief check-ins and homework sharing easier and fit into busy schedules. These options make therapy more flexible and help people fit work on their mental health into their daily life.