01 · Who Loretta works with

Loretta works with stress, Anxiety, anger management and self esteem

Loretta lists 13 specialisms and 6 further focus areas. Specialisms are the subjects Loretta chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Loretta's own words

What Loretta says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello! I am a Licensed Clinical Mental Health Counselor (LCMHC)in both North and South Carolina with over 20 years of counseling experience. I am also a Nationally Certified Counselor and Accredited Disability Representative. I work with adults who want help to feel more in control, inspired, motivated, and empowered to find enjoyment in living from their authentic self. My experience includes working with clients with a variety of concerns such as anxiety, bipolar, depression, self-esteem, life transition issues, chronic pain, and disability. This is a transformational journey fueled by strength, integrity and courage.

My counseling style/approach is warm, interactive and supportive. I believe in treating everyone with dignity, integrity, compassion and sensitivity in addressing their concerns. I do not believe in stigmatizing labels because labels do not define who you are.

My approach uses multiple therapeutic modalities such as person-centered therapy, cognitive-behavioral, reality therapy and psycho-dynamic. This approach allows for flexibility to tailor treatment plans to meet your unique and specific needs and goals.

Together, we will identify solutions and resources to inspire, motivate and empower you through your growth challenges to achieve the outcomes and results you want. I believe that you are your best expert in your life. I will provide you with guidance in identifying patterns, choices and consequences to accomplish goals for a more satisfying and authentic life.

It takes strength, integrity and courage to seek a more fulfilling and happier life supported by dreams and goals. Taking the first step toward change can be both frightening and rewarding. I will be with you every step of the transformational journey and help you with the tools to develop a "stick and stay" attitude toward your progress.

BE YOU! All abroad the transformation journey, let's roll! I really look forward to working with you to become the best version of yourself.

Loretta Tillman, on the BetterHelp listing · read 7 Oct 2026

03 · How Loretta works

The 5 approaches Loretta lists, in plain English

These are the clinical methods Loretta lists. The descriptions are Maker Therapy's, not Loretta'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 Loretta runs a session.

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”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

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.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Loretta 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 Loretta's own practice, and not a promise about how quickly anything happens.

1. 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 Loretta at this point.

2. Naming Loretta specifically

   BetterHelp matches algorithmically by default, so asking for Loretta 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 Loretta.

3. 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.

4. 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.

5. 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

4 questions worth asking Loretta

Built from what Loretta actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Loretta's - Loretta has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural 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.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 20 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

LPC

Licensed in

North Carolina

Licence

AZ LPC LPC-23068, NV LCPC CP5588-R

Licence number

3411

Licence expires

30 Jun 2027

NPI

1356495402

Years in practice

20

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Loretta'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 7 Oct 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 Loretta. 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.

Something on this page wrong or out of date? Report it and it will be checked against the source.