- CBT techniques
- DBT skills
- Trauma-focused work
About Tiffany
Tiffany Pulliam is a Licensed Professional Counselor - Mental Health Service Provider (LPC-MHSP) in Tennessee with five years of clinical experience. She works with adults who are dealing with anxiety, depression, trauma and abuse, relationship stress, and burnout. Tiffany also addresses communication problems, questions of life purpose, and feelings of guilt and shame.
Tiffany uses practical techniques drawn from well-known therapeutic approaches. She blends methods aimed at changing unhelpful thinking, building emotional regulation skills, and addressing trauma-related memories. Sessions tend to be straightforward and focused on skill-building and real-life application.
In session she helps people name what they are feeling and practice ways to respond differently. That can include learning tools to manage anxiety, steps to repair communication patterns, or strategies to reduce overwhelming mood. She emphasizes trying things between sessions so progress carries into daily life.
She prefers a collaborative working style. Clients can expect an organized plan with concrete steps and check-ins along the way. Tiffany pays attention to both current problems and patterns that show up again and again.
Her work often centers on restoring a sense of agency after difficult experiences. For people wrestling with guilt or shame, she focuses on understanding those feelings and developing practical ways to lessen their hold on day-to-day choices.
How therapeutic techniques translate to online sessions
EMDR-informed methods focus on processing distressing memories and reducing the intensity of painful reactions. In practice this means working through specific memories in a paced way while learning ways to tolerate difficult feelings, which can help with trauma-related symptoms and persistent shame. Cognitive behavioral therapy, or CBT, centers on identifying unhelpful thoughts and testing them with practical experiments. That approach helps with anxiety, low mood, and the repetitive self-critical thinking that often comes with guilt. Dialectical behavior therapy skills teach emotional regulation and better ways to handle intense moments. Those skills include grounding, distress-tolerance techniques, and clearer communication strategies for relationship stress. Choosing the right mix of techniques is part of the early work. The therapist will collaborate with each person to match methods to their needs, goals, and preferences. That means trying approaches, checking how they land, and adjusting the plan together. Please confirm which session formats are offered before booking, since formats are not specified here. Online sessions can make it easier to fit work into a busy week, reduce travel time, and allow for shorter check-ins when needed. Many people find scheduled remote sessions help them keep consistent progress while balancing everyday responsibilities.Areas of expertise
Primary focus
Additional focus areas
Experience
5+ years
Listed in
Tennessee
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She supports adults with stress, anxiety, relationship strain, trauma and abuse, and depression. Communication problems, life purpose, and guilt and shame are also areas she addresses.
How does she approach feelings of guilt or shame?
Tiffany helps people name those feelings, trace where they come from, and practice specific skills to respond differently. The work focuses on manageable steps rather than quick fixes.
What is her professional experience?
She has five years of experience working with adults on anxiety, trauma, depression, and related concerns. That experience informs her practical, skills-oriented approach.
What are her credentials and where does she practice?
She is a LPC-MHSP in Tennessee. Her practice is based in Tennessee and follows that state credentialing.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not currently accepting international clients.
What session formats does she offer?
Please confirm current session options before booking, as formats are not specified here. Check the online therapy options to see what is available now.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription model. The subscription can be canceled at any time.
How do I get started with a first session?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.