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TR Portrait of Tiffany Ream

Tiffany Ream

Compassionate care focused on practical change

LCPC Illinois

Experience
10 years in practice
Focus areas
Stress, Anxiety, LGBT, Career
Approaches
Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages
English
Continue with Tiffany

About Tiffany

Tiffany Ream is an Illinois-licensed LCPC who addresses a wide range of concerns including stress, anxiety, depression, trauma and abuse, addiction, relationship and family issues, grief, sleep difficulties, parenting challenges, bipolar disorder, ADHD, and LGBT-related concerns.

Background and approach

She also offers support around career transitions, coping with life changes, anger management, self-esteem, compassion fatigue, coaching, and has added focus areas that include first responder issues and polyamory or non-monogamous relationships. Tiffany draws on a decade of clinical experience to tailor care to each person’s situation.

Her approach centers on building a strong therapeutic relationship and moving at a pace that feels comfortable for the client. Tiffany commonly uses Cognitive Behavioral Therapy (CBT) and Solution-Focused Therapy and brings elements of Dialectical Behavior Therapy when appropriate.

She emphasizes how thoughts and emotions influence decision making, and she collaborates with clients to identify practical strategies and realistic goals. Tiffany’s background includes work in independent practice, in-patient settings, group homes, and correctional environments, which informs a flexible and grounded style aimed at helping people heal, learn, and grow.

Evidence-Informed Approaches for Online Care

CBT focuses on identifying unhelpful thought patterns and testing them with practical behavioral experiments; it is often used for anxiety, depression, stress, and sleep-related concerns by teaching concrete skills to shift thinking and behavior.

Solution-Focused Therapy emphasizes small, achievable changes and builds on a client’s existing strengths to set clear goals and track progress, making it useful for career decisions, coping with life transitions, and targeted problem solving. Tiffany may also incorporate DBT skills when emotional regulation, distress tolerance, or interpersonal effectiveness are priorities.

Finding the right approach is a collaborative process. The therapist works with clients to explore which combination of techniques fits their needs, goals, and preferences, and adjusts methods as progress is made. Clients are invited to give feedback so the plan can be refined together.

Online sessions offer flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing people to access care from home or while balancing work and family demands. These formats make scheduling more adaptable and can support consistent practice of skills between meetings, which can help sustain momentum and make it easier to integrate therapeutic strategies into daily life.

Frequently asked questions

What concerns does this therapist commonly help with?
Tiffany works with many presenting issues such as stress, anxiety, depression, trauma and abuse, addictions, relationship and family conflicts, grief, sleep difficulties, parenting challenges, bipolar disorder, ADHD, and LGBT-related concerns.
What therapeutic approach does she use?
She typically draws on Cognitive Behavioral Therapy (CBT) and Solution-Focused Therapy, with elements of Dialectical Behavior Therapy (DBT) when helpful, to create practical, skills-based interventions tailored to each client.
How much clinical experience does she bring?
Tiffany has 10 years of experience working across settings such as independent practice, in-patient care, group homes, and correctional facilities.
Where is she licensed and based?
She is a Licensed Clinical Professional Counselor (LCPC) practicing in Illinois; the license number on record is IL LCPC 180.010242.
Does she work with non-English speakers or international clients?
Sessions are offered in English, and she is not currently accepting international clients.
Which session formats are available?
Clients can meet via video calls, phone sessions, live chat, or through text-based messaging depending on preference and availability.
How are sessions priced and paid for?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule an appointment based on the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyLGBTCareer difficultiesDepressionCoping with life changes

Also works with

AddictionsRelationship issuesFamily conflictsTrauma and abuseGriefSleeping disordersParenting issuesAnger managementSelf esteemBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

First responder issuesPolyamory / non-monogamous relationships

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Solution-Focused Therapy

Experience

10+ years

Licensed

Illinois

Languages

English