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TG Portrait of Tieaesha Gaines

Tieaesha Gaines, LMFT

Compassionate, practical therapy for life and relationships

Book with Tieaesha

About Tieaesha

Tieaesha Gaines is a licensed marriage and family therapist in California with 23 years of experience. She focuses on stress, anxiety, relationship concerns, trauma and abuse, and rebuilding self-esteem.

Background and approach

She aims to make the first step toward change feel manageable and supportive for people who are nervous about starting therapy. She uses straightforward conversation to help people name what’s troubling them.

Sessions often focus on practical skills for coping with strong emotions and rebuilding confidence. Treatment plans are shaped around what each person says they want to change.

Tieaesha draws on methods such as cognitive behavioral strategies and acceptance-based work to help people shift unhelpful thoughts and take values-driven action. Attachment-focused ideas guide conversations about how early relationship patterns affect current partnerships and trust.

Dialectical skills are used for managing intense feelings and improving emotional regulation. She also addresses concerns tied to identity and culture, including prejudice and discrimination.

Topics like codependency, non-monogamy or kink, and midlife transitions are treated with directness and respect. Practical communication skills and problem-solving are common session goals.

Tieaesha aims to create a nonjudgmental space where people can speak honestly about guilt, shame, or fear. She helps clients set small, clear goals and practice new behaviors between sessions.

Working together, she supports steady progress toward better coping and more satisfying relationships.

Therapeutic approaches you can access online

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice unhelpful thoughts without getting stuck in them and then take actions that match their personal values. It is often used for anxiety, stress, and life changes. Attachment-Based Therapy looks at how early relationship patterns affect current connections and trust; it helps people understand and shift those patterns to improve closeness and communication. Cognitive Behavioral Therapy, CBT, teaches practical strategies to identify and change thoughts and behaviors that keep problems going, and it works well for anxiety, low mood, and relationship difficulties.

Choosing the right approach is part of the work together. The therapist will collaborate with each person to clarify goals, try methods, and adjust as needed. That means starting with what matters most to the client and tailoring interventions to fit their needs and preferences.

Online therapy offers several ways to connect: video calls for face-to-face interaction, phone sessions when bandwidth is limited, live chat for shorter check-ins, and text-based messaging for ongoing support between sessions. These options make it easier to fit sessions into a busy day, manage technology limits, or pick a format that feels comfortable. Licensed professionals can use these formats to teach skills, process feelings, and track progress over time.

Frequently asked questions

What issues does she help with?
She helps with stress, anxiety, relationship concerns, trauma and abuse, self-esteem, and coping with life changes. Additional focuses include attachment issues, codependency, sexual diversity topics, and discrimination.
How would you describe her therapy style?
Sessions are practical and conversational, blending cognitive behavioral techniques, acceptance-based work, attachment ideas, and dialectical skills. The style is direct and aimed at teaching skills people can use between sessions.
What kind of experience does she bring?
She has 23 years of professional work experience helping people manage anxiety, relationship problems, trauma, and self-esteem challenges.
Where is she licensed and based?
She is a California licensed marriage and family therapist - LMFT - practicing in California.
Can sessions be conducted in languages other than English?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted.
What session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How are fees handled and how do I begin?
Cost varies with location and therapist availability and uses a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
23 years
Licensed
California
Languages
English