Julie Tamisiea

Julie Tamisiea is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina. She has 15 years of experience helping people cope with stress, anxiety, depression, grief, and the practical strains of caregiving and end-of-life concerns. Julie speaks plainly and works with each person to address the problems that brought them to therapy.

She draws on client-centered methods that keep the person’s goals front and center. Julie uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy tools when they fit the situation. She also brings mindfulness and motivational strategies into sessions to help with mood, cravings, or when emotions feel overwhelming.

Julie aims to create a nonjudgmental space where clients can name what is hard and try practical steps forward. She helps people identify patterns, set realistic goals, and practice new ways of coping between sessions. For parents she focuses on manageable strategies that can fit into a busy routine.

Her background includes work with addiction, trauma and abuse survivors, relationship struggles, and issues around adoption and foster care. She also supports people dealing with aging, caregiver stress, hospice and end-of-life counseling, and career or life-purpose questions.

Julie frames therapy as a collaborative process. She helps people choose techniques that match their needs and checks in regularly to adjust the plan. Practical tools and steady support are central to how she works.

Approaches for online counseling and practical coping

Client-centered therapy focuses on listening and following the client's lead. The therapist offers a supportive, nonjudgmental space and helps people set goals that matter to them. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect and teaches skills to change unhelpful patterns; it is useful for anxiety, depression, and coping with change.

Choosing the right approach is a shared process. The therapist will discuss your goals, try techniques together, and adjust methods based on what helps most. Collaboration means checking in regularly and shifting focus when needed so sessions stay useful and relevant.

The original profile does not list specific online formats, so confirm current session options before booking. In general, online counseling can make it easier to fit therapy into a busy life - sessions can be scheduled around work, caregiving, or medical appointments. Some people prefer shorter check-ins when time is tight, while others use longer sessions for deeper work. Online options can reduce travel time and help people stay consistent with care, which supports steady progress over weeks and months.