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LPCC

Cara Tuley, LPCC

  • Experience33 years
  • LocationOhio
  • Focus areasStress and Anxiety, LGBT, and Family
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
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About Cara

Cara Tuley is an LPCC with 33 years of clinical experience who blends compassionate, client-centered care with established therapeutic methods. She emphasizes Internal Family Systems alongside cognitive and behavioral techniques to help clients explore internal patterns, manage anxiety, address trauma, and build practical coping strategies.

Background and approach

Her work is grounded in an accepting, nonjudgmental stance that values cultural awareness and individual differences. Throughout a long career in Ohio and beyond, she has supported people facing a wide range of concerns including stress, depression, addictions, grief, relationship and intimacy issues, parenting challenges, ADHD, bipolar mood concerns, and career transitions.

She also works with more specific struggles such as abandonment, attachment and blended family dynamics, caregiving stress, chronic illness and pain, and body image. Sessions draw on approaches like ACT, CBT, DBT, and client-centered methods to tailor interventions to each person’s needs.

Cara communicates in English and accepts international clients. Her practice offers multiple remote formats to fit different lifestyles and schedules, and she approaches each new client collaboratively to identify goals and strategies that fit their circumstances.

Integrating Approaches for Online Healing



Cara combines Internal Family Systems with Acceptance and Commitment Therapy to address both internal dynamics and values-based living. Internal Family Systems helps individuals notice and dialogue with different parts of themselves to reduce internal conflict and heal from trauma, which can be useful for anxiety, grief, and relational struggles. ACT focuses on clarifying values and developing flexible, present-focused strategies to cope with difficult thoughts and feelings, often supporting people facing stress, depression, or life transitions.

Finding the right approach is a collaborative process. Cara works with each person to identify which methods fit their goals, preferences, and current situation, adjusting techniques over time so therapy remains responsive and practical rather than prescriptive.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to increase accessibility and convenience. These formats make it easier to fit therapy into busy lives, support ongoing practice between sessions, and allow clients from different locations to connect with a licensed professional without commuting.

Frequently asked questions

What kinds of issues does she address?
Cara supports people coping with stress, anxiety, depression, trauma and abuse, relationship and intimacy concerns, addictions, grief, parenting and sleep problems, career issues, and a range of other challenges listed in her focus areas.
What therapeutic style can I expect in sessions?
Her style combines Internal Family Systems with evidence-based therapies like CBT, DBT, ACT, and a client-centered stance to tailor support to each person’s needs and preferences.
How long has she been practicing?
She brings 33 years of counseling experience to her work, drawing on long-term clinical practice to inform treatment planning and interventions.
Where is she licensed and what is her credential?
She is an LPCC licensed in Ohio with credential details OH LPCC E.0007791-SUPV as provided in her professional information.
Can non-US residents work with her?
Yes, she accepts international clients and conducts sessions with people outside the United States when licensing and local regulations allow.
What session formats are offered?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and communication preferences.
How are fees handled and what does it cost?
Cost varies depending on location and therapist availability, and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To get started, select the Start Therapy button, complete the short matching questionnaire, and schedule a session according to 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