Profile / United States
Tieaesha Gaines, LMFT
California
LMFT - stress and relationship concerns
See online therapy options- CBT approaches
- Trauma and abuse
- Self esteem work
About Tieaesha
Tieaesha Gaines is a California licensed marriage and family therapist (LMFT) with 23 years of clinical experience. She focuses on stress, anxiety, relationship concerns, trauma and abuse, motivation, self-esteem, and confidence. Tieaesha speaks English and works from California.
Her approach is practical and conversational. She helps people notice unhelpful thoughts and habits, then tests different ways of responding. Sessions focus on clear goals and real-life skills rather than abstract theory.
Tieaesha uses Cognitive Behavioral Therapy among other methods to help clients spot thought patterns that feed worry and avoidance. She also draws on Acceptance and Commitment Therapy and Attachment-Based ideas to address values, connection, and long-standing relational patterns. Dialectical Behavior Therapy and client-centered techniques appear in her work when emotion regulation or compassionate listening is needed.
People come to Tieaesha for help after stressful life changes, separation, or events that leave lasting anxiety or shame. She can work through issues such as codependency, communication problems, jealousy, and concerns tied to kink or alternative sex culture. She also supports those dealing with multicultural stress, prejudice, and identity-related strain.
Her sessions aim to be straightforward and nonjudgmental. New clients are asked to set a first goal, try small behavior changes between sessions, and review progress regularly. The process is collaborative and goal-focused, with adjustments made as needs evolve.
How CBT and related approaches work for online sessions
Tieaesha often uses Cognitive Behavioral Therapy to help clients identify thoughts and behaviors that keep problems going, then test practical changes. CBT works well for anxiety, stress, and habit patterns by breaking issues into small, workable steps.She also draws on Acceptance and Commitment Therapy, which focuses on values and committed action even when difficult thoughts remain. Attachment-Based Therapy informs her work on relationship patterns and trust, helping people notice how past connections shape present reactions.
Choosing the right approach is part of the work. She will collaborate with each client to pick methods that match their goals, preferences, and what feels doable. That choice can be adjusted as the client tries techniques and notices what helps.
Confirm current session options before booking so you know the available formats. The practical benefits of online sessions include easier scheduling around work or family obligations, shorter check-in meetings when needed, and fewer travel demands. These factors can make it simpler to keep regular appointments and to practice skills between sessions.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
23+ years
Listed in
California
Languages
English
Frequently asked questions
What concerns does she focus on?
Tieaesha focuses on stress, anxiety, relationship concerns, trauma and abuse, motivation, self-esteem, and confidence. She also addresses related topics like codependency, communication problems, and post-traumatic stress.
How does she typically work with clients?
She uses practical, skills-based approaches that include Cognitive Behavioral Therapy, ACT, and attachment-informed methods. Sessions work toward specific goals and experiments clients can try between meetings.
How much clinical experience does she have?
Tieaesha has 23 years of professional experience working with adults on stress, anxiety, relationships, and trauma-related concerns.
What credential does she hold and where is she based?
She is a California LMFT and practices in California.
What languages are supported?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to begin?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.