01 · Who Tiffany works with

Tiffany works with stress, Anxiety, bipolar disorder and depression

Tiffany lists 10 specialisms and 4 further focus areas. Specialisms are the subjects Tiffany chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Tiffany's own words

What Tiffany says about the work

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

I am a licensed independent social worker with eleven years of diverse experience in hospital-based and crisis work. I have worked with clients experiencing suicidal crises, depression, anxiety, anger issues, substance abuse, and with diagnoses of Bipolar Disorder, Major Depressive Disorder, OCD, Schizophrenia, and eating disorders. I also have formal crisis training and nine years of experience working on a suicide crisis hotline for individuals experiencing acute suicidal crisis.

I blend cognitive-behavioral and crisis-based approaches to my work. I believe in the benefit and efficacy of therapy for all individuals looking to process through past experiences, current struggles, or trying to implement change for the future. I practice with an empathetic, accepting, and sensitive approach. I treat each interaction as unique, and delve into each client's experience to tailor the approach.

By taking this initial step to seek out counseling services, you are moving in the direction of a brighter future. I look forward to working together to achieve the best possible outcome through this therapeutic process!

Tiffany Kral, on the BetterHelp listing · read 6 Nov 2026

03 · How Tiffany works

The 2 approaches Tiffany lists, in plain English

These are the clinical methods Tiffany lists. The descriptions are Maker Therapy's, not Tiffany'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 Tiffany 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.

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.

04 · What happens next

From this page to a first session

Tiffany 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 Tiffany'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 Tiffany at this point.

2. Naming Tiffany specifically

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

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 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Ohio

Licence

AZ LCSW LCSW-20989, OH LISW I.1600002-SUPV

Licence number

I.1600002-SUPV

Licence expires

6 Jan 2028

NPI

1578031613

Years in practice

4

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

06 · Provenance

Where every line on this page came from

Tiffany'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 6 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 Tiffany. 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.