Cindy Tenaglia has been in practice 18 years and is licensed in Pennsylvania. Cindy lists stress, Anxiety, grief and self esteem among 43 subjects on the BetterHelp roster.
Everything below is either quoted from Cindy's own
BetterHelp listing, taken from public licensing records, or written by
Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a
rating.
18years in practice
43subjects listed
4approaches listed
01 · Who Cindy works with
Cindy works with stress, Anxiety, grief and self esteem
Cindy lists 17 specialisms and 26 further focus areas. Specialisms are the subjects Cindy chose to list first, which is the closest a listing
gets to “this is my actual practice”.
Specialisms
Stress, Anxiety
Grief
Self esteem
Depression
Coping with life changes
LGBT
Relationship issues
Family conflicts
Intimacy-related issues
Eating disorders
Parenting issues
Anger management
Career difficulties
Bipolar disorder
Coaching
Compassion fatigue
ADHD
Also experienced with
Abandonment
Aging and geriatric issues
Attachment issues
Blended family issues
Caregiver issues and stress
Chronic pain, illness, and disability
Co-morbidity
Codependency
Communication problems
Control issues
Eating and food-related issues
Emptiness
Family of origin issues
Family problems
Forgiveness
Guilt and shame
Hospice and end-of-life counseling
Isolation / loneliness
Life purpose
Midlife crisis
Mood disorders
Multicultural concerns
Panic disorder and panic attacks
Seasonal Affective Disorder (SAD)
Women's issues
Young adult issues
02 · In Cindy's own words
What Cindy says about the work
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
I am a licensed clinical social worker (LCSW) outside of Phila. with over 12 years of clinical experience. I've worked with individuals, couples and families in both in-patient and out-patient settings dealing with a wide range of mental health and life issues. Prior to getting my training and degree from Bryn Mawr School of Social Work I lived at an intentional community on 130 beautiful acres in Wisconsin. Collaborating and communicating with people has always been most satisfying and important to me. My goal in providing coaching and therapy is always to promote effective solutions for whatever issues clients face. My style is warm, empathic and tailored to the individual. I am a strong advocate for self directed learning, having homeschooled my son and daughter for 9 years. I bring that same philosophy to facilitating growth in all I work with.
My work with clients is based on Acceptance and Commitment Therapy (ACT), an evidenced based approach to problems in living. If you would like to have a more valued and vital life, have issues or problems you struggle with, and want to reduce your struggling and increase valued living, then ACT is for you! I will collaborate with you to promote psychological flexibility and self awareness.. I utilize the ACT Matrix to collaborate with clients in discovering how to move toward who and what is important to them.
Cindy Tenaglia, on the BetterHelp listing · read 8 Nov 2026
03 · How Cindy works
The 4 approaches Cindy lists, in plain English
These are the clinical methods Cindy lists. The descriptions are Maker Therapy's, not
Cindy's - a general explanation of what each method is, so the list means something before
you have spoken to anybody. They are not a claim about how Cindy runs a session.
Acceptance and Commitment TherapyACT
Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.
Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
Solution-Focused Brief TherapySFBT
Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.
04 · What happens next
From this page to a first session
Cindy practises through BetterHelp, so the route in is BetterHelp's. This is that sequence,
written by Maker Therapy from the platform's published process - not a description of
Cindy's own practice, and not a promise about how quickly anything happens.
A questionnaire, not a booking form
BetterHelp opens with a set of questions about what you are dealing with, what you want from
therapy, and any preferences on the therapist. You are not booking Cindy at this point.
Naming Cindy specifically
BetterHelp matches algorithmically by default, so asking for Cindy is a step you have to
take. There is a field for requesting a specific therapist during sign-up, and you can switch
afterwards from your account. Starting from a link on this page does not by itself assign you to
Cindy.
If the caseload is full
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is
easy to assume a match is the person you asked for.
The first conversation
A first session is typically history and orientation: what brought you, what has been tried,
what you want to be different. It is also where the questions in the next section belong.
If the fit is wrong
Changing therapist on BetterHelp does not need a reason. A first session that does not click is
common and is not a verdict on therapy. That option existing is the main practical difference
between a platform and a private practice.
05 · Before you commit
3 questions worth asking Cindy
Built from what Cindy actually lists, so they are answerable and specific rather than generic.
Maker Therapy's, not Cindy's - Cindy has not seen them and is under no obligation to answer
any of them.
“You list both Solution-Focused Brief Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”
Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.
“With 18 years in, what has changed most in how you work?”
Long experience is only an advantage if it has been examined. This tends to surface whether it has.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
06 · Practical details
Credentials and licensing
Credential
LCSW
Licensed in
Pennsylvania
Licence
PA LCSW CW006987L
Licence number
CW006987L
Licence expires
28 Feb 2027
NPI
1912650110
Years in practice
18
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026
07 · Provenance
Where every line on this page came from
Cindy's name, credential, state, subjects, approaches and biography
are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 8 Nov 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are
written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Cindy. There are no reviews
or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
?Report this listing
If this listing is you and you do not want it here, tell us and it comes down straight away.
Something on this page wrong or out of date?
Report it and it will be checked against the source.
Maker Therapy is user-supported - when you start through our links we may earn a commission from BetterHelp at no extra cost to you.