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LPCC

Cara Tuley, LPCC

  • Experience33 years
  • LocationOhio
  • Focus areasADHD, Stress and Anxiety, and LGBT
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy
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About Cara

Cara Tuley is an LPCC with 33 years of clinical experience who integrates evidence-based methods to help people manage stress, mood concerns, relationship challenges, and ADHD-related difficulties.

Background and approach

She draws on cognitive behavioral strategies alongside mindfulness and acceptance-based techniques to help clients identify unhelpful patterns, build practical coping skills, and clarify personal values. Her approach is warm and nonjudgmental, emphasizing collaboration and respect for each person’s background.

Throughout a long career working with diverse presenting concerns including trauma, addiction, grief, intimacy-related issues, and career or parenting stress, Cara blends structured skill-building with client-centered listening. She also brings experience addressing areas such as attachment and blended family dynamics, chronic health challenges, body image, and compassion fatigue.

Sessions aim to balance short-term problem solving with deeper work on meaning, coping, and resilience. Cara practices from Ohio and offers support to English-speaking clients beyond state lines.

She accepts international clients and uses a range of remote session formats to meet practical needs. Her credential is OH LPCC E.0007791-SUPV and she seeks to match therapeutic tools to each person’s goals and circumstances.

Therapeutic Approaches and Online Care



Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors; it is practical for anxiety, depression, sleep problems, and many daily-life challenges. Acceptance and Commitment Therapy (ACT) encourages people to clarify personal values and develop psychological flexibility, which can support coping with stress, chronic conditions, and transitions. Mindfulness-based practices teach present-moment awareness and self-regulation skills that complement these therapies and help with emotion management and attention-related difficulties.

Finding the right approach is a collaborative process. The therapist works with each client to explore goals, preferences, and responses to different strategies, adapting methods over time so the plan fits individual needs rather than imposing a single model.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging, making it possible to maintain continuity of care across locations and schedules. These formats allow licensed professionals to deliver structured interventions, skill coaching, and ongoing support while accommodating mobility, work hours, and personal commitments.

Frequently asked questions

What kinds of concerns does Cara address?
Cara works with a wide range of concerns including stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy issues, grief, bipolar mood concerns, ADHD, and related life changes.
What is her general therapeutic style?
Her style combines client-centered listening with structured, evidence-based techniques such as CBT, ACT, DBT, and mindfulness to teach coping skills while exploring values and goals.
How long has she been practicing?
Cara brings 33 years of clinical experience to her work, drawing on that background to tailor interventions to a variety of presenting issues.
Where is Cara licensed and based?
She is licensed in Ohio as an LPCC with the credential OH LPCC E.0007791-SUPV and maintains a practice based in that state.
Can non-U.S. clients work with her?
Yes, she accepts international clients and conducts sessions in English for people located outside Ohio or other states.
What session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees structured?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyLGBTFamily conflictsTrauma and abuseDepression

Also works with

AddictionsRelationship issuesGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

33+ years

Licensed

Ohio

Languages

English

What Cara can help with

Cara Tuley works with clients on stress and anxiety, LGBT, family conflicts, trauma and abuse, and depression.

Cara has worked in person and online with clients all over Ohio, other states, and all over the world thanks to Better Help.

How Cara approaches therapy

Cara's clinical approaches include Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, Solution-Focused Therapy, and Trauma-Focused Therapy.

Experience and training

Cara is a Licensed Professional Clinical Counselor practicing in Ohio, with 33 years of clinical experience.