Tamara Nixon, LMHC

Tamara Nixon is a Licensed Mental Health Counselor (LMHC) based in Massachusetts. She has ten years of clinical experience helping people who feel overwhelmed by stress, anxiety, grief, low self-esteem, depression, and life changes.

She uses practical, conversational therapy to help clients set small goals and try new skills between sessions. Cognitive Behavioral Therapy (CBT) is one of the main approaches she uses to identify unhelpful thoughts and test different ways of responding. She also draws on client-centered work to build on a person’s strengths and Dialectical Behavior Therapy (DBT) skills for emotional regulation when needed.

Tamara has supported people coping with ADHD, autism and Asperger Syndrome, addictions, trauma and post-traumatic stress, panic attacks, obsessive-compulsive patterns, and mood disorders. She also helps with parenting challenges, relationship and family problems, career stress, sleep difficulties, and issues that affect self-love and identity, including LGBT concerns.

Her style is direct but warm. She helps people make clear, achievable plans and practices skills in real life. Sessions focus on what’s happening now and what can change next.

Clients work by video, phone, live chat, or text messaging. Tamara can help international clients and guides each person through a matching process to find the best path forward.

How Tamara’s approaches translate to online therapy

CBT helps people spot unhelpful thoughts and test new behaviors. Online CBT sessions often use short exercises, thought records, and practical homework to reduce anxiety, manage mood, and change patterns that cause distress.

Client-centered therapy focuses on listening and building on a person's strengths. In remote sessions the therapist offers reflective conversation and encouragement to help clarify goals and boost confidence.

Dialectical Behavior Therapy teaches skills for emotional regulation, distress tolerance, and improved communication. These skills can be practiced between sessions and reviewed over video, phone, chat, or text to reinforce learning.

Finding the right approach is a team effort. The therapist will work with each person to choose methods that match their goals, needs, and preferences. Plans can change over time as progress is made and priorities shift.

Online therapy offers flexibility in how and when sessions happen. Video calls are useful for face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a quick check-in is needed. Live chat and text messaging allow shorter check-ins, ongoing skill coaching, and notes that can be reviewed later. These options make it easier to fit therapy into busy lives and different time zones.