01 · Who Tami works with

Tami works with stress, Anxiety, family conflicts and self esteem

Tami lists 12 specialisms and 9 further focus areas. Specialisms are the subjects Tami chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Tami's own words

What Tami says about the work

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

I'm a therapist with extensive experience supporting individuals through life's most challenging transitions. Over nearly two decades of practice, I've developed expertise in helping clients navigate anxiety, stress, depression and self-esteem concerns. I'm particularly skilled at supporting people through major life changes and the emotional complexities that accompany them.

My work focuses on helping clients cultivate self-love, improve communication, and build healthier relationships. I have a special interest in supporting individuals through life transitions, family dynamics, commitment and relationship concerns.

I believe that therapy is a collaborative journey where you are the expert of your own experience. My approach is grounded in warmth, genuine care, and a deep respect for where you are in your life. I'm here to help you find clarity, build resilience, and reconnect with your own strength as you navigate whatever brought you here.

If you're ready to take that important step toward healing and growth, I'd be honored to support you.

Tami Vance, on the BetterHelp listing · read 9 Oct 2026

03 · How Tami works

The 5 approaches Tami lists, in plain English

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

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.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

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.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Tami 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 Tami'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 Tami at this point.

2. Naming Tami specifically

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

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

3 questions worth asking Tami

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

• “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 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

Indiana

Licence

IN LCSW 34006130A

Licence number

34006130A

Licence expires

1 Apr 2028

NPI

1003984147

Years in practice

18

Gender

Female

Languages

English

International clients

Not accepted

Listed since

21 Jul 2026

07 · Provenance

Where every line on this page came from

Tami'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 9 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 Tami. 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.