Tammy Inselman, LICSW

Tammy Inselman is a licensed clinical social worker who focuses on helping people manage stress, anxiety, mood concerns, addiction, and major life changes. She aims to make the first step feel less overwhelming and to create practical ways forward. Tammy works with people facing grief, trauma, parenting challenges, ADHD, and relationship strain. She practices in Washington and offers services in English.

Tammy uses clear, straightforward approaches in sessions. She draws on cognitive behavioral ideas to help people notice patterns and try new skills. She also uses solution-focused and narrative tools to set small goals and reframe difficult stories. Sessions tend to be practical and goal-oriented with space to process feelings.

With 13 years of practice as an LICSW Tammy brings experience across many life situations. Her background includes supporting people with chronic health issues, caregiver stress, adoption and foster care questions, and end-of-life concerns. She also has experience with substance use and veterans' issues.

In a first meeting Tammy will listen to what matters most, then outline short-term steps to try between sessions. She often helps people identify supports they already have and build on those strengths. Therapy can include talking, planning, and simple skill practice to reduce day-to-day distress.

Sessions are offered by video, phone, live chat, or text messaging. Tammy uses these formats to fit therapy into busy schedules and to keep working on goals between meetings.

How Tammy uses practical approaches online

CBT, or cognitive behavioral therapy, helps people spot unhelpful thinking and try small behavior changes to reduce anxiety or depression. It breaks problems into concrete parts and teaches steps to change day-to-day routines.

Motivational Interviewing focuses on a person's own reasons for change and helps build motivation when decisions feel hard. It is useful for issues like substance use, managing health, or following through on goals.

Finding the right approach is part of the process. Tammy collaborates with clients to choose methods that fit their needs, goals, and preferences. She will check in and adjust the plan as people try strategies and notice what helps.

Online therapy offers practical benefits for busy lives. Video calls let people have full conversations and use visual tools. Phone sessions can be a good option when bandwidth is low or a shorter check-in is needed. Live chat and text-based messaging support quick updates, skill practice between meetings, and ongoing accountability. These options make it easier to keep therapy consistent while balancing work, caregiving, and daily routines.