Julie Tirella, LCSW

Julie Tirella is a licensed clinical social worker (LCSW) based in Florida who focuses on practical strategies to reduce stress and anxiety. She draws on cognitive behavioral approaches and client-centered care to help people manage mood, relationships, and life transitions.

Julie has 18 years of experience working with issues such as depression, bipolar mood concerns, addiction, trauma and abuse, grief, and low self-esteem. She also supports people facing challenges like communication problems, codependency, attachment worries, and parenting strain. Her work often covers both immediate coping needs and longer-term patterns that affect wellbeing.

Sessions emphasize clear, straightforward conversation. Julie listens without judgment and helps clients identify unhelpful thoughts and behaviors. She uses practical tools from Cognitive Behavioral Therapy to test new ways of thinking and acting, and she draws on client-centered principles to follow each person’s priorities.

Motivational Interviewing is used when people want to make changes but feel stuck or unsure. Psychodynamic ideas may be brought in to notice recurring patterns that start in earlier relationships. Solution-focused techniques help set small, achievable goals and track progress.

Julie aims to make the first steps easier. She explains options, sets manageable goals, and checks in on what’s working. People who want direct, respectful support for mood, relationship, addiction, or life-change concerns may find her approach helpful.

How therapy approaches translate to online care

Julie commonly uses Cognitive Behavioral Therapy to help people identify and change unhelpful thoughts and behaviors. CBT is practical and goal-focused, which can work well for anxiety, depression, mood regulation, and addictive behaviors.

She also uses Client-Centered Therapy, which means sessions begin with listening closely to each person's priorities and pacing work around their needs. Motivational Interviewing may be used when someone feels stuck and wants help building motivation for change.

Choosing the best approach is a collaborative process. The therapist will discuss options, try techniques, and adjust based on what the client finds useful. Goals, preferences, and day-to-day realities guide the plan rather than one fixed method.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are useful for in-depth work and seeing nonverbal cues. Phone sessions work well when bandwidth is limited or a shorter check-in fits into a break. Live chat and messaging let people share updates, get brief coaching between sessions, and keep momentum without scheduling a full call. These options make it easier to fit therapy into a busy life and to use approaches like CBT and motivational interviewing in flexible ways.