- Thoughts and everyday habits
- Values-based work
- Practical skill building
About Cara
Cara Tuley is an Ohio-based licensed professional clinical counselor (LPCC) with 33 years of experience. She offers calm, accepting care and focuses on practical changes people can use in everyday life. Cara listens without judgment and helps people notice unhelpful thoughts and habits so they can make different choices.
She often draws on cognitive behavioral ideas to help folks revise thinking patterns that keep stress and anxiety active. Cara also uses acceptance and commitment principles to help people clarify what matters to them and take small steps toward those values. Mindfulness and skills from dialectical behavior therapy are woven in when they help manage strong emotions and improve coping.
Clients bring concerns such as anxiety, depression, trauma and abuse, grief, addictions, and relationship problems. She also supports people facing parenting challenges, career stress, caregiving strain, chronic illness, and questions around intimacy or self-esteem. Cara lists work with LGBT concerns, ADHD, bipolar disorder, and many life transitions among her focus areas.
Her background includes decades of in-person and online practice serving people across Ohio and beyond. Cara describes herself as open and culturally curious, and she pays attention to each person’s unique life story. Her approach is straightforward and practical, with an emphasis on changing patterns of thought and daily habits.
To start, she invites people to talk about what they want to change and what matters most to them. From there she helps build small, workable steps to shift routines and thoughts so life feels more manageable and meaningful.
She often draws on cognitive behavioral ideas to help folks revise thinking patterns that keep stress and anxiety active. Cara also uses acceptance and commitment principles to help people clarify what matters to them and take small steps toward those values. Mindfulness and skills from dialectical behavior therapy are woven in when they help manage strong emotions and improve coping.
Clients bring concerns such as anxiety, depression, trauma and abuse, grief, addictions, and relationship problems. She also supports people facing parenting challenges, career stress, caregiving strain, chronic illness, and questions around intimacy or self-esteem. Cara lists work with LGBT concerns, ADHD, bipolar disorder, and many life transitions among her focus areas.
Her background includes decades of in-person and online practice serving people across Ohio and beyond. Cara describes herself as open and culturally curious, and she pays attention to each person’s unique life story. Her approach is straightforward and practical, with an emphasis on changing patterns of thought and daily habits.
To start, she invites people to talk about what they want to change and what matters most to them. From there she helps build small, workable steps to shift routines and thoughts so life feels more manageable and meaningful.
Areas of expertise
Primary focus
Also works with
AddictionsRelationship issuesGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems
Experience
33+ years
Credentials
Ohio
Languages
English
How Cara’s approaches translate to online work
Cognitive Behavioral Therapy helps people identify and change thoughts and behaviors that keep problems going. It’s useful for anxiety, depression, sleeping problems, and many everyday habits. Acceptance and Commitment Therapy (ACT) focuses on what matters to a person and on taking small, committed steps toward those values while learning to accept difficult feelings. Mindfulness Therapy teaches simple attention practices to reduce reactivity and improve emotional awareness.Finding the right approach is part of the work. Cara will talk with each person about goals, preferences, and daily routines to choose methods that fit. She takes a collaborative stance and adjusts techniques based on what helps the person make steady progress.
Confirm the session formats before booking, as specific formats are not listed here. Online therapy can make it easier to fit help into a busy life - for example it can reduce travel time, allow shorter check-ins during a work break, or remove the need to be on camera if that helps someone engage. Licensed professionals can tailor homework, skill practice, and mindfulness exercises for use between sessions so changes carry into everyday routines.
Frequently asked questions
What kinds of concerns does she help with?
Cara works with many issues including stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy issues, grief, sleeping problems, parenting strain, anger, self-esteem, career questions, bipolar disorder, and ADHD.
What is her general therapeutic style?
She uses a practical, down-to-earth style that focuses on thoughts and everyday habits. Sessions typically emphasize noticing thinking patterns, building coping skills, and taking small steps toward valued changes.
How long has she been practicing?
Cara has 33 years of counseling experience working in person and online with people in Ohio and beyond.
What are her credentials and where is she based?
She holds the LPCC credential and practices from Ohio.
Which languages are available for sessions?
Sessions are offered in English and she has worked with people from a range of cultural backgrounds.
Can international clients work with her?
Yes, she accepts international clients and has provided care to people outside the United States.
How does payment and cost work?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.