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- Stress and anxiety
- Relationship patterns
- Trauma and abuse
About Tieaesha
Tieaesha Gaines is a Licensed Marriage and Family Therapist, LMFT, licensed in California with 23 years of professional experience. She focuses on stress, anxiety, relationship concerns, trauma and abuse, self-esteem, and coping with life changes. She uses an interpersonal, client-centered style and works with people to talk through tough moments and set practical goals.
Gaines helps people name what feels distressing and then tries out ways to reduce its impact. She listens for patterns in attachment and communication that shape relationship problems. She also addresses stress responses and self-critical thoughts that feed anxiety and low confidence.
Her work often combines skills-based methods and reflective conversation. That includes approaches from cognitive behavioral therapy and dialectical behavior therapy to support emotion regulation and clearer thinking. Acceptance and Commitment Therapy and attachment-focused ideas are used when values and relational history matter to the presenting concern.
She has experience with issues around codependency, jealousy, control struggles, and difficult life transitions such as divorce or midlife re-evaluation. She also supports people navigating BDSM, kink, and alternative sex culture, and those exploring non-monogamous relationship arrangements.
Gaines attends to how cultural background and experiences of prejudice affect stress and relationships. She aims to help people develop everyday skills for communicating, setting boundaries, and repairing connections.
To begin, she asks about current struggles, goals, and what has or has not helped before. Sessions include discussion, practical tools, and collaborative planning for next steps.
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Therapeutic approaches used for online care
Acceptance and Commitment Therapy helps people clarify what matters to them and take small steps toward those values. It often focuses on accepting difficult feelings while committing to actions that match personal goals.Attachment-Based Therapy looks at how early relationship patterns shape current connections and reactions. It can be useful when trust, intimacy, and recurring communication problems are at the center of distress.
Finding the right approach is part of the work. The therapist collaborates with clients to choose methods that fit their needs, goals, and preferences. Over the first few sessions she will review options and adjust the plan based on what feels most useful.
Online sessions can make it easier to fit therapy into a busy life. Please confirm the specific session formats offered before booking, since the biography does not list them. People often use online sessions to shorten commuting time, fit a session into a workday break, or choose a quieter setting for talking. Some formats require less bandwidth or allow audio-only check-ins, which can help when a shorter or simpler option is needed.
Licensed professionals provide the care and help clients practice skills between sessions. The therapist and client will discuss practical arrangements and what approach will best support the client's goals.
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Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
23+ years
Listed in
California
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, relationship issues, trauma and abuse, self-esteem, and coping with life changes. Additional focuses include attachment issues, codependency, jealousy, and non-monogamous relationship concerns.
What therapeutic approaches does she use?
She draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. Methods are chosen to fit the problem and the client's preferences.
How much experience does she have?
She has 23 years of professional experience. That span reflects work with a variety of relationship and trauma-related issues.
Where is she licensed to practice?
She is a Licensed Marriage and Family Therapist, LMFT, licensed in California. Sessions follow California practice standards.
Which languages are supported?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
The original biography does not list specific session formats. Confirm current session options before booking to know whether phone or video sessions are offered.
How are sessions billed?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on the subscriber plan and location.
How do I begin working with her?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session. The questionnaire and scheduler start the intake process.
Online talk therapy is not emergency care. If you are in danger, call 911, or call or text 988.