Julie Tamisiea , LCMHC

Julie Tamisiea is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 15 years of experience helping people navigate a wide range of emotional and life challenges. She works with individuals facing stress, anxiety, depression, relationship and family concerns, parenting struggles, substance use issues, trauma and abuse, grief, eating and body image concerns, ADHD, bipolar challenges, and career or life transition questions. Her practice also addresses specialized needs such as adoption and foster care, caregiver stress, first responder issues, hospice and end-of-life counseling, and compassion fatigue.

Julie approaches therapy from a strengths-based perspective, operating from the belief that each person is creative, resourceful, and whole. She partners with clients to address immediate concerns while also exploring patterns or obstacles that may be holding them back from a more satisfying life. Sessions are tailored to the individual, drawing on client-centered principles as well as evidence-informed methods so clients receive an approach that fits their personality and goals.

As a clinician, Julie offers a supportive, nonjudgmental space where practical skills and personal insight are developed together. Her LCMHC credential indicates clinical training in mental health counseling and the ability to provide assessment and treatment for a variety of concerns. Julie aims to help clients identify clear steps forward and build the capacity to meet life’s challenges with greater confidence.

Therapeutic Approaches for Online Care

Julie frequently integrates client-centered therapy and cognitive behavioral therapy (CBT) in her online work. Client-centered therapy focuses on creating a respectful, empathetic environment where the client’s perspective guides the pace and goals of sessions; it helps people feel heard and supported while developing self-directed solutions. CBT emphasizes identifying unhelpful thoughts and behaviors and practicing practical skills to reduce symptoms of anxiety, depression, and stress.

She also draws on dialectical behavior therapy (DBT) strategies when clients need tools for emotional regulation, distress tolerance, and improving interpersonal effectiveness. DBT techniques can be especially helpful for managing intense emotions, improving relationships, and coping with crisis moments.

Finding the right blend of approaches is part of the collaborative process. Julie works with clients to assess their needs, preferences, and goals, and she adjusts methods over time to ensure sessions remain useful and relevant. This collaborative tailoring helps clients build skills that fit their daily lives.

Online therapy offers flexibility in how sessions happen—video calls, phone sessions, live chat, or text-based messaging allow people to access care from home or on the go. These options make it easier to maintain consistent work on goals, fit therapy into busy schedules, and use the communication style that feels most comfortable for each person.