Tiffany Costello is a licensed professional counselor who works from Colorado and brings seven years of clinical experience to her practice.
01About Tiffany
Tiffany Costello is a licensed professional counselor who works from Colorado and brings seven years of clinical experience to her practice. She focuses on practical ways to reduce stress and anxiety and to get through big life changes. Tiffany uses a straightforward, respectful approach and treats people with sensitivity and compassion.
She helps people who are dealing with grief, relationship and intimacy concerns, workplace stress, and career transitions. Addictions, low self-esteem, eating concerns, and depression are also areas she addresses.
Background and approach
Tiffany cares about identity-related issues and provides support for LGBT concerns. Tiffany pays attention to how early family experiences shape current patterns. She helps clients tackle communication problems, control issues, and struggles around attachment and abandonment.
Conversations often include coping strategies for panic attacks, social anxiety, and isolation. Her way of working is collaborative. Tiffany listens first, then tailors sessions to fit what each person needs.
She mixes practical exercises with time to understand emotional experience so people can try different ways of coping between meetings. Sessions can include problem-focused work like changing unhelpful habits, and reflective work to process past hurts. She also offers coaching-style support for career and workplace issues.
Tiffany aims to empower clients to make steady changes at a pace that feels manageable.
02Credentials
- LPC (Colorado)
- License LPC.0018445 · expires August 2027
- LPC (Missouri)
- License 2018036461 · expires June 2027
- LMHC (Iowa)
- License 120181 · expires September 2026
- NPI
- 1578104477 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Tiffany lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Anger management
- Career difficulties
- Coping with life changes
- Addictions
- LGBT
- Family conflicts
- Grief
- Intimacy-related issues
- Eating disorders
- Self esteem
- Depression
- Coaching
- Compassion fatigue
- Abandonment
- Attachment issues
- Communication problems
- Control issues
- Family of origin issues
- Family problems
- Guilt and shame
- Isolation / loneliness
- Panic disorder and panic attacks
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
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04Online support
Approaches that guide online work
Tiffany uses evidence-based therapeutic techniques aimed at manageable change. One approach focuses on skills for managing anxiety and panic - learning grounding, breathing, and stepwise exposure to reduce intense fear responses and increase confidence. This work suits people who want concrete tools to manage symptoms.Another common approach centers on processing trauma and difficult emotions. Sessions create space to name painful experiences, understand their impact, and develop new ways of responding to triggers. This helps people who carry shame, guilt, or old wounds that affect current life.
Choosing the right approach is a collaborative process. Tiffany will talk with each person about their goals, strengths, and preferences, and together they decide what to try first. Plans are adjusted over time based on what helps and what feels doable.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. Video is useful for a full session feel, phone can be easier when bandwidth is low, chat and messaging work well for brief check-ins or coaching-style support. These options aim to make it easier to keep therapy consistent around work, travel, or busy family life.
05Questions people ask
What kinds of concerns does she address?
Tiffany works with stress, anxiety, trauma and abuse, grief, depression, and addictions. She also helps with relationship worries, intimacy issues, eating concerns, and workplace or career challenges.
What is her therapeutic style like?
Her style is collaborative and direct. She listens first, then tailors sessions with practical strategies and opportunities to process emotions.
How much clinical experience does she have?
She has seven years of experience providing counseling to adults with a range of concerns and life transitions.
Which credentials and location apply?
She holds the LPC credential and practices from Colorado. Credential abbreviations are used as provided.
Are sessions available in other languages or countries?
Sessions are offered in English. Tiffany is available to work with international clients.
What session formats are offered?
She meets by video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How does pricing work?
Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule a session based on the therapist's availability.
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