01 · Who Tim works with

Tim works with stress, Anxiety, self esteem and depression

Tim lists 7 specialisms and 17 further focus areas. Specialisms are the subjects Tim chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Tim's own words

What Tim says about the work

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

TIM GRAVIER M.Ed. LPC Stress? Anxiety? Feeling stuck? Let’s talk! Things impact your mental health each day, making you feel stuck. I utilize Person-Centered Therapy, Cognitive Behavioral Therapy and Motivational Interviewing to assist in coping with depression, anxiety, grief, trauma, and the stressors of your daily life. I am a Licensed Professional Counselor in Missouri since 2004 with a Bachelor’s in Psychology and Masters of Education in Counseling. I am certified as an Executive Coach and a Six Sigma Green Belt in Process Improvement.

Starting in 2000 as a Counselor with the Missouri Department of Elementary and Secondary Education in the Office of Adult Learning and Rehabilitation Services, I have worked with a multitude of clients. Promoted to Statewide Director of Quality Assurance in 2013, I have helped guide over 130 Master level Counselors provide quality services to nearly 14,000 clients a year. Retired from the State of Missouri, I currently hold a private practice; contracting through telehealth to provide an innovative experience for you to reach your goal.

I believe that therapy/counseling is a professional relationship where both of us work together to best fit your needs. What you will get from me is a safe non-judgmental place to be yourself. I believe that every individual is an expert in their own life and can attain the best version of themselves through this experience. To accommodate your needs, I offer morning, afternoon, and evening virtual appointments so you stay in the comfort of your space and your schedule. Together, we can work to get life on track - enough about me - tell me about you - Let’s talk.

Tim Gravier, on the BetterHelp listing · read 6 Nov 2026

03 · How Tim works

The 5 approaches Tim lists, in plain English

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

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.

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.

04 · What happens next

From this page to a first session

Tim 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 Tim'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 Tim at this point.

2. Naming Tim specifically

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

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 Tim

Built from what Tim actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Tim's - Tim 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.

• “With 19 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

Missouri

Licence

MO LPC 2001018053

Licence number

2001018053

Licence expires

30 Jun 2027

NPI

1013515725

Years in practice

19

Gender

Male

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Tim'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 Tim. 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.