Tina Echterling, LPC, LMHC

Tina Echterling is a licensed counselor who uses practical, down-to-earth methods to help people change how they feel and cope day to day. She holds LPC and LMHC credentials and brings nine years of experience working with adults on stress, anxiety, addiction concerns, and depression. Tina aims to make first steps feel manageable and straightforward for people who are unsure where to begin.

She emphasizes cognitive behavioral techniques to identify unhelpful thinking and build better habits. Tina also draws from client-centered approaches to offer a warm, nonjudgmental space where people can talk through painful topics. Dialectical behavior therapy skills are used when emotion regulation and distress tolerance are priorities.

Tina works with issues such as relationship and family conflict, grief, trauma and abuse, anger, and low self-esteem. She also helps with career stress, coaching around life transitions, and concerns that intersect with LGBT identity. Additional focus areas include codependency, communication problems, divorce and separation, and substance use challenges.

Therapy sessions are collaborative and action-oriented. Tina will listen to what matters most, help set clear goals, and practice concrete tools between sessions. She aims to keep work practical so progress can be noticed in everyday life.

Tina is based in Indiana and conducts work in English. Her approach is direct but compassionate, intended for people who want straightforward support and skill-building to manage difficult feelings and life changes.

Practical approaches for online skill-building

CBT, or cognitive behavioral therapy, focuses on spotting and changing unhelpful thoughts and routines. It helps with anxiety, depression, stress, and many day-to-day problems by teaching clearer thinking and concrete behavior changes. Client-centered therapy emphasizes a respectful, listening stance where the therapist follows the person's lead and helps them find their own solutions. This approach suits people who need a calm, accepting space to sort feelings and choices. Dialectical behavior therapy, or DBT, teaches specific skills for managing strong emotions, handling crisis moments, and improving relationships. It is useful when emotional intensity or difficulty tolerating stress gets in the way of daily life.

Finding the right approach is part of the work. Tina will talk with each person about goals, preferences, and what has helped or not helped in the past. Together they decide which methods to prioritize and adjust the plan as progress is made, keeping the process collaborative and practical.

Online therapy offers flexible ways to connect. Video calls allow face-to-face conversations for skill demonstrations and deeper work. Phone sessions can be a quieter option or use less bandwidth when needed. Live chat and text-based messaging support quick check-ins, homework help, or brief coaching between sessions. These formats make it easier to fit therapy into busy days and to practice new skills in real life.