Julie Tamisiea, LCMHC

Julie Tamisiea is a licensed clinical mental health counselor (LCMHC) based in North Carolina with 15 years of experience. She works with people facing stress, anxiety, depression, parenting strain, addiction, and a wide range of life transitions. Julie aims to create a calm, nonjudgmental space so people can talk honestly and begin making changes.

She begins by listening and helping clients name what matters most to them. Julie draws on practical, evidence-informed methods such as cognitive behavioral therapy (CBT) and client-centered approaches to build clearer thinking and healthier habits. She also uses dialectical behavior therapy (DBT) skills and mindfulness strategies when emotion regulation and distress tolerance are needed.

Julie has supported people dealing with trauma, grief, intimacy and relationship concerns, eating issues, ADHD, bipolar challenges, and caregiving stress. She also helps those navigating adoption and foster care, midlife transitions, career shifts, and end-of-life caregiving. Her work often focuses on small, doable steps that add up to real change.

Sessions are collaborative: Julie helps set goals and adjusts methods to fit each person’s pace and preferences. She offers phone, video, live chat, and text-based messaging to match different schedules and needs. Her practice uses a subscription model that can be canceled at any time.

Julie emphasizes practical tools and steady progress. She encourages people to try different strategies, notice what helps, and build skills they can use outside sessions. The aim is clearer thinking, better coping, and a stronger sense of direction.

Approaches that translate well to online care

Julie often uses cognitive behavioral therapy (CBT) to help people identify unhelpful thoughts and test new ways of thinking. CBT is practical and goal-focused, which can make exercises and homework easy to do between sessions. Client-centered therapy is another mainstay in her work and prioritizes listening, empathy, and the client’s own goals to guide progress.

She also draws on dialectical behavior therapy (DBT) skills when emotions feel overwhelming. DBT provides concrete techniques for regulating intense feelings, tolerating distress, and improving interpersonal effectiveness, which can be practiced during and between online sessions. Together these approaches aim to build skills people can use in daily life.

Choosing the right approach is a collaborative process. Julie will talk with each person about their goals and preferences, try methods that fit those needs, and adjust the plan as progress is made. The first few sessions often focus on deciding which combination of strategies feels most helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth work and practicing skills together, phone calls can be a good option when bandwidth is limited, and messaging or chat offers quick check-ins and flexible support between sessions. These options make it easier to fit therapy into busy lives and keep momentum as goals evolve.