Cara Tuley
Experienced CBT-oriented counselor focused on practical change
LPCC Ohio
- Experience
- 33 years in practice
- Focus areas
- Stress, Anxiety, LGBT, Family
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Cara
Cara Tuley draws on over three decades of counseling experience to offer pragmatic, strengths-based care. She works from a Cognitive Behavioral perspective and integrates acceptance, mindfulness, and relational ideas to help clients address stress, anxiety, depression, trauma, addiction, and relationship concerns.
Background and approach
Her approach emphasizes practical skills, clearer thinking patterns, and collaborative goal-setting so people can manage symptoms and move toward meaningful change. Cara holds the LPCC credential and has provided services across Ohio and beyond, including clients in other states and internationally.
She is described as open and nonjudgmental, and she aims to understand each person's cultural background and life context before shaping a plan. Areas of focus include grief, intimacy and sexual concerns, parenting and family issues, career problems, ADHD, chronic health and caregiver stress, and complex presentations such as bipolar disorder and co-morbidity.
Cara tailors interventions using techniques from ACT, DBT, mindfulness, and client-centered work as appropriate. She offers multiple formats for connecting and encourages clients to explore options that fit their schedules and needs while working toward clearer communication, improved coping, and greater personal resilience.
How practical approaches translate to online therapy
Cognitive Behavioral Therapy helps clients identify and change unhelpful thoughts and behaviors through structured techniques and skill practice; it is often used for anxiety, depression, stress, and many daily coping challenges. Acceptance and Commitment Therapy focuses on clarifying personal values and using mindfulness and acceptance strategies to move toward meaningful goals despite difficult thoughts or feelings. Client-Centered Therapy emphasizes an empathic, nonjudgmental relationship where the therapist supports the client's own capacity for growth and self-directed change.
Choosing the right approach is a collaborative process. The therapist works with each person to understand their concerns, preferences, and goals, and then tailors interventions from these models to fit the situation. Over time techniques may be blended so the client benefits from skills practice, values work, and a supportive therapeutic relationship.
Online sessions make this work more accessible through flexible options including video calls, phone sessions, live chat, or text-based messaging. These formats allow people to schedule care around work and family commitments, access therapy across distances, and use different communication styles while practicing the same evidence-informed strategies and relational support that guide in-person work.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
33+ years
Licensed
Ohio
Languages
English