- Stress and anxiety
- Grief and loss
- Attachment concerns
About Tammie
Tammie Makely is a California licensed marriage and family therapist (LMFT) with 13 years of professional experience. She works with people who are dealing with stress, anxiety, relationship problems, trauma and abuse, grief, and depression. She also addresses concerns like abandonment, attachment issues, body image, caregiver stress, communication problems, control issues, divorce and separation, forgiveness, guilt and shame, impulsivity, isolation, life purpose, money and mood concerns.
She keeps sessions straightforward and focused on what feels most pressing. Conversations center on feelings, behavior, and practical steps people can try between sessions. Tammie aims to reduce the weight of persistent guilt or shame by helping people name what they feel and notice how it affects daily life.
Her background includes over a decade of direct clinical work in California. That experience shapes how she structures sessions and how she responds when someone brings trauma, loss, or relationship wounds into the room. She uses methods that are described as evidence-based therapeutic techniques to guide conversations and planning.
Appointments involve talking through current challenges, identifying patterns, and testing small changes that can alter how someone responds to guilt, shame, or anxiety. Tammie encourages clear communication about what is working and what is not, so adjustments can be made as therapy progresses.
If someone is unsure what to expect, she asks a few questions early on to clarify goals and priorities. People who begin here are walked through the practical steps for scheduling and next actions so they can move forward without extra guesswork.
Approaches used and how online sessions work
Evidence-based therapeutic techniques are used to guide sessions. One common approach focuses on identifying patterns between thoughts, feelings, and behavior so people can try small behavioral changes. This helps when guilt or shame leads to avoidance or repeated unhelpful reactions. Another commonly used approach emphasizes processing difficult memories and stressful events in a stepwise way so they interrupt daily life less often. That can be useful for trauma, grief, and relationship strain.Choosing the right approach is part of the work. Tammie will collaborate with clients to identify which methods fit their needs, goals, and preferences. That means checking in after a few sessions and adjusting the plan if something is not helping as hoped.
Confirm current session options before booking, as formats are not listed in the biography. Online therapy can make it easier to fit sessions into a busy week and reduce travel time. It also lets people pick a quieter time to check in, use audio-only when a shorter check-in is needed, or join from wherever they are located in California. These practical benefits can help keep momentum while working through guilt, shame, or relationship issues.
Areas of expertise
Primary focus
Additional focus areas
Experience
13+ years
Listed in
California
Languages
English
Frequently asked questions
What kinds of problems does she address?
She works with stress, anxiety, relationship problems, trauma and abuse, grief, and depression. Additional focuses include guilt and shame, attachment, and caregiving stress.
How does she approach feelings of guilt or shame?
She helps people name the feeling and notice how it shows up in behavior. Sessions focus on talking through the feeling and testing small changes between visits.
How much clinical experience does she have?
She has 13 years of professional experience working with people on a range of concerns including trauma, grief, and mood issues.
What is her credential and where does she practice?
She is a California LMFT, which stands for Licensed Marriage and Family Therapist, and she practices in California.
Are sessions available in other languages?
Sessions are offered in English.
Can people outside the US work with her?
International clients are not currently accepted.
How are sessions priced?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What steps do I take to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.