Cara Tuley , LPCC

Cara Tuley is a seasoned counselor with 33 years of clinical experience who works with individuals, couples, and families across Ohio, other states, and internationally. She holds LPCC, which stands for Licensed Professional Clinical Counselor, and draws on a broad toolkit to address concerns such as stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, addictions, grief, parenting challenges, ADHD, bipolar disorder, and career or self-esteem struggles.

Cara approaches therapy with openness and acceptance, meeting people without judgment and attending carefully to each person’s story and cultural background. Her work blends practical, solution-focused techniques with systemic perspectives that consider family and relationship patterns. She frequently uses cognitive behavioral strategies alongside acceptance-based and mindfulness practices, tailoring interventions to the needs of the client whether the focus is symptom relief, behavioral change, or deeper emotional processing.

Cara is experienced in both in-person and online formats and supports clients facing a wide range of life transitions and chronic stressors, including caregiver strain, chronic illness, adoption and foster care concerns, blended family dynamics, attachment and abandonment issues, and challenges related to aging or disability. She welcomes new clients and collaborates to find goals and strategies that fit each person’s life.

Therapeutic Approaches and Online Care

Cara Tuley integrates cognitive behavioral therapy (CBT) to help clients identify and change unhelpful thinking and behavior patterns, which can be useful for anxiety, depression, and stress-related concerns. Acceptance and Commitment Therapy (ACT) complements this work by encouraging values-driven action and learning to live alongside difficult thoughts and feelings, often benefiting those facing life transitions, chronic distress, or identity-related challenges. She also uses client-centered therapy principles to create a supportive, nonjudgmental space where the client’s goals guide the pace and focus of treatment.

Choosing the right approach is part of the therapeutic process. Cara works collaboratively with each person to explore which methods fit best with their needs, goals, and preferences, adjusting techniques as progress and circumstances evolve.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which allow scheduling flexibility and access from different locations. These formats can make it easier to maintain continuity of care during busy schedules, travel, or when in-person appointments are not feasible, while still enabling meaningful work with licensed professionals and therapists.