Evidence-informed approaches and online sessions

Many of the techniques Tiffany uses come from well-studied, evidence-based approaches. One common approach focuses on identifying unhelpful patterns in relationships and testing new ways of communicating to reduce conflict and build connection. This helps with issues like attachment, codependency, and commitment worries.

Another approach emphasizes building coping skills for anxiety and stress through step-by-step practice. That can include short behavioral experiments, pacing changes, and learning simple strategies to manage strong emotions and impulsivity. These methods are useful for work stress, panic, and feelings of isolation.

Finding the right approach is part of the work. Tiffany collaborates with each person to choose techniques that fit their needs, goals, and comfort level, and she adjusts the plan as progress is made. This is a joint process rather than a one-size-fits-all prescription.

Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging. Video calls are helpful for full conversations and visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging work well for quick updates, coaching-style support, or when writing about feelings helps clarify thoughts. These options give flexibility to fit therapy into busy lives and different daily routines.