Tiffany Ream, LCPC

Tiffany Ream, LCPC, helps people who are feeling overwhelmed by stress, anxiety, depression, grief, or big life changes. She works with issues such as ADHD, bipolar symptoms, relationship and family concerns, parenting strain, addictive behaviors, and work or career stress. She also offers support for first responder issues and people in non-monogamous relationships. Tiffany focuses on building a trusting working relationship first. She uses clear, practical conversations to help people name what’s most troubling them. Sessions move at a pace the client can manage so progress feels steady rather than rushed. Her approach draws on cognitive behavioral ideas and solution-focused techniques. That means she helps people spot patterns in thinking, test new behaviors, and try small changes that add up. Dialectical skills are also part of the toolbox when someone needs help with emotional regulation and interpersonal effectiveness. Tiffany completed a master’s degree in forensic psychology and holds an Illinois Licensed Clinical Professional Counselor credential - LCPC. Over about ten years in behavioral health, she has worked in private practice, inpatient settings, group homes, and correctional facilities. This range has informed a practical, down-to-earth style. In sessions she aims to be nonjudgmental and direct. Clients set goals and Tiffany helps track progress with straightforward steps and real-life strategies. The emphasis is on finding what works for each person and supporting them as they try it.

How her approaches work online

CBT, or cognitive behavioral therapy, helps people notice unhelpful thoughts and test new behaviors. Online CBT sessions focus on practical exercises, simple thought records, and real-world homework that clients can try between meetings. Solution-Focused Therapy concentrates on what is working and on small steps toward change. Sessions are goal-oriented and often move quickly to identify concrete next steps that fit daily life. Dialectical Behavior Therapy skills can be used when emotions feel intense or relationships are strained. Those skills teach grounding, distress tolerance, and ways to communicate more effectively with others. Choosing an approach is a collaborative process. The therapist will talk with clients about their needs, goals, and preferences and then test what fits best. Plans are adjusted over time based on what helps the person make steady progress. Online sessions offer practical benefits. Video calls allow face-to-face conversation when visual cues help. Phone sessions use less bandwidth and can be easier during a busy day. Live chat and text-based messaging are useful for brief check-ins, coaching-style feedback, and ongoing support between scheduled sessions. These options make therapy more flexible and easier to fit into real life.