Michelle Tiger, LCSW

Michelle Tiger is a Licensed Clinical Social Worker (LCSW) who centers therapy on clear, practical steps people can use day to day. She uses straightforward talk and gentle guidance to help clients address stress, anxiety, depression, sleep problems, and relationship struggles. Michelle emphasizes small changes that add up over time and supports people through life transitions and caregiving challenges.

She draws on Cognitive Behavioral Therapy (CBT) to identify unhelpful thoughts and behaviors and then test new ways of thinking and acting. Acceptance and Commitment Therapy (ACT) and mindfulness tools are woven in to help people notice what matters to them and respond with intention. Motivational Interviewing helps when making changes feels overwhelming.

Michelle has worked across aging services, hospice, home care, and community re-entry, bringing experience with health and disability concerns into therapy. She also offers coaching for job searching and employment challenges alongside clinical work. Her background includes time in correctional settings and adult day services, which informs a practical, down-to-earth style.

Sessions focus on individual goals. Michelle asks about what’s not working and what a better life would look like. Together, clinician and client try experiments, track small wins, and adjust plans when needed.

She is an LGBTQ+ ally and helps people facing grief, addiction, chronic illness, caregiver stress, intimacy issues, and parenting strain. Michelle practices from Pennsylvania and works with people across different locations, including international clients.

How Michelle’s approaches translate to online therapy

Michelle blends Cognitive Behavioral Therapy and Acceptance and Commitment Therapy into online work. CBT focuses on noticing thought patterns and testing small behavior changes to reduce anxiety, depression, and sleep problems. ACT helps people clarify personal values and take meaningful steps even when emotions are difficult, which is useful for grief, caregiving strain, and life transitions.

Finding the right approach is part of the work together. Michelle will talk with each person about goals and preferences and then try methods that fit their needs. Sessions are collaborative and adjusted over time based on what is helpful and what isn’t working.

Online therapy here is delivered by licensed professionals using video calls, phone sessions, live chat, or text-based messaging. Video calls allow a fuller conversation and visual feedback. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text-based messaging suit short updates, brief coaching, or people who prefer typed communication. These options offer flexibility to fit therapy into busy days, caregiving schedules, or different time zones.