- Client-centered focus
- CBT and DBT skills
- Support for codependency
About Julie
Julie Tamisiea is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with 15 years of experience. She focuses on practical steps that help people manage stress, anxiety, parenting strain, low self-esteem, depression, addiction concerns, and codependency. Julie aims to create a calm, nonjudgmental space where clients can talk through what matters most to them and begin making changes that fit their life.
She draws on client-centered work to follow each person's perspective and priorities. Cognitive Behavioral Therapy (CBT) is used to identify patterns of thinking that keep problems stuck and to build different habits. Dialectical Behavior Therapy (DBT) skills and mindfulness practices are offered to help with emotion regulation and staying present when things feel overwhelming.
Julie approaches sessions as a collaboration. She helps people set clear goals, then breaks those goals into manageable steps. Sessions often include skill practice, short homework, and focused conversations that move toward the client's aims.
Her background includes long-term counseling with people facing trauma, relationship difficulties, parenting challenges, and substance-related struggles. Julie also supports people working through grief, life transitions, career questions, and questions about identity and intimacy.
Clients can expect direct, respectful guidance and tools they can use between sessions. She emphasizes strengths and small changes that add up over time. To begin, clients complete a brief matching questionnaire and schedule according to therapist availability.
How Julie Uses Evidence-Based Methods Online
Julie commonly draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy to guide online work. CBT focuses on identifying unhelpful thinking and changing behaviors through small experiments and practice, which helps with anxiety, depression, and codependency patterns. DBT offers concrete emotion regulation and distress-tolerance skills that help when feelings feel intense or relationships are volatile.She also uses a client-centered stance that prioritizes each person's values and goals. Finding the right blend of methods is collaborative; the therapist will talk with the client about goals, try approaches, and adjust plans based on what is helpful. Clients are invited to give feedback so sessions match their needs and pace.
Confirm current session options before booking, as specific formats are not listed here. Online work can make it easier to fit therapy into a busy life by removing travel time, allowing check-ins during short breaks, and offering options that match comfort with video or audio. Practical benefits include access from different locations within the therapist's service area and the ability to continue steady work during life transitions, while the therapist helps arrange sessions to suit schedules and daily routines.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Credentials
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does Julie address?
She works with stress, anxiety, depression, parenting strain, relationship and intimacy issues, addictions, codependency, grief, trauma, and related life changes.
What is her general approach in sessions?
Sessions are collaborative and practical, using client-centered listening plus CBT and DBT skills to set goals and practice new ways of coping.
How much experience does she have?
Julie brings 15 years of clinical experience working with a wide range of concerns including trauma, addiction, and mood disorders.
What credential does she hold and where is she located?
She is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are costs handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.