Tammy Piazza, LMHC

Tammy Piazza is a licensed mental health counselor in New York who helps people manage stress, addiction challenges, anxiety, depression, and trauma. She speaks plainly and aims to make the first steps feel doable for someone searching on their phone. Tammy brings seven years of clinical experience to her work and focuses on practical skills and steady progress.

She uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try different behaviors. Tammy also draws on client-centered approaches to create a respectful, nonjudgmental space where people set the pace. When trauma is present she may integrate EMDR-informed tools and emotion-focused strategies to address painful memories and feelings.

Sessions typically begin by identifying one or two immediate goals, like better sleep, reducing panic, or handling cravings. Tammy teaches coping skills such as grounding, emotion regulation, and practical problem solving that can be practiced between visits. She helps people work through issues like codependency, communication problems, grief, and parenting concerns from an individual perspective.

Tammy accepts sessions in English and works with adults in New York. Therapy options include video calls, phone sessions, live chat, and text messaging to fit different schedules. She asks newcomers to complete a short matching questionnaire and then schedule a time that works for them.

Her approach is collaborative and straightforward. Tammy focuses on small, manageable changes so people can regain control and feel steadier in daily life.

Approaches that translate to online care

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety, panic, and depressive patterns. It is often used for sleep problems, panic attacks, mood disorders, and social anxiety by teaching concrete skills to try between sessions.

Client-centered therapy emphasizes a nonjudgmental, accepting conversation where the person sets the pace and goals. This approach supports building trust and exploring values, life purpose, guilt, and shame in a collaborative way.

Tammy also uses elements of Dialectical Behavior Therapy when emotional regulation and distress tolerance are needed. DBT techniques help people handle intense feelings, reduce impulsive reactions such as substance use, and improve communication skills.

Choosing the right approach is a joint process. Tammy will talk with each person about their concerns, goals, and preferences and then suggest which methods to try first. Adapting the plan over time is part of how therapy stays relevant and useful.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which can make therapy fit into a busy life. Video lets people work face to face when bandwidth permits, phone sessions can be a simpler check-in, and messaging supports brief updates or ongoing skills practice between scheduled appointments. These options aim to increase flexibility and help people use therapy in a way that matches their daily routine.