Cara Tuley , LPCC

Cara Tuley is a Licensed Professional Clinical Counselor (LPCC) with 33 years of experience working with individuals, couples, and families. She has provided therapy in person across Ohio and other states, and more recently has worked with clients internationally through online services. Cara approaches clients with an open and accepting attitude, meeting people where they are without judgement or bias, and she values learning about a wide range of cultures and life experiences.

Cara’s clinical work emphasizes cognitive behavioral strategies delivered within a solution-focused and systemic framework, which allows her to address immediate concerns while also exploring patterns that affect relationships and family systems. She is skilled at tailoring interventions for stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy issues, grief, parenting and family challenges, work and career concerns, ADHD, bipolar concerns, and many other life transitions and coping needs.

Clients can expect a collaborative process in which Cara draws from Acceptance and Commitment Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness techniques as appropriate. She is currently accepting new clients and is available to work with people through a variety of online and phone-based formats.

Approaches That Guide Online Therapy with Cara Tuley

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take committed action toward them while learning to accept difficult thoughts and feelings. It can be useful for anxiety, depression, stress, and life transitions by shifting focus from symptom control to meaningful living.

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking patterns and behaviors. CBT is practical and structured, and it is often used to address anxiety, depression, trauma-related symptoms, sleep difficulties, and many day-to-day challenges.

Client-Centered Therapy emphasizes a respectful, nonjudgmental therapeutic relationship in which the therapist listens actively and supports the client’s own process of discovery and growth. This approach can be especially helpful for relationship concerns, self-esteem work, and situations that benefit from empathic exploration.

Choosing the right approach is part of therapy and happens collaboratively. Cara will work with each person to determine which methods fit their needs, goals, and preferences, and she adapts techniques over time based on progress and feedback.

Online therapy with Cara is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and comfort levels. These options make it easier to maintain regular sessions during busy periods, while supporting continuity of care across locations and life changes. Licensed professionals can use these remote formats effectively to deliver many evidence-informed interventions and ongoing support.