- Guilt and shame work
- Attachment focused
- Substance use support
About Tiamara
Tiamara Drew is an Oklahoma Licensed Marriage and Family Therapist (LMFT) with four years of clinical experience. She works with adults on stress, anxiety, addictions, relationship concerns, trauma and abuse, and depression. She also helps people who carry difficult feelings around abandonment, attachment, body image, codependency, and guilt and shame.
She focuses on practical steps in sessions. Conversations often start with what feels most urgent to the client. Tiamara listens for patterns that connect current problems to family background, relationships, and coping habits. She pays attention to how attachment and past losses shape present emotions and choices.
Sessions typically move between talking, identifying unhelpful patterns, and trying small behavioral experiments. For people struggling with substance use or impulsive behavior, she works on concrete strategies to reduce harm and regain control. For relationship concerns, she helps clients name communication habits and practice clearer requests.
When guilt or shame is present, she helps people name the feeling, trace where it came from, and test kinder ways of relating to themselves. Work on forgiveness in therapy focuses on what the client needs, not on pressuring reconciliation with others.
Tiamara describes her style as collaborative and culturally responsive. She welcomes people from varied backgrounds and supports adults navigating identity, family problems, blended family issues, and infidelity. Her work aims to increase self-understanding and build everyday coping skills.
How evidence-based approaches are used in online sessions
Many therapists drawing from evidence-based therapeutic techniques focus on concrete skills and clear goals. One common approach targets thought patterns and behavior to reduce anxiety and depressive symptoms by helping people notice unhelpful thoughts and try small behavioral changes. This can be useful when guilt or shame fuels avoidance or rumination.Another approach emphasizes attachment and relational patterns. It helps people trace how early relationships shape current expectations and communication, which can be helpful for abandonment, codependency, and relationship conflicts. Work often includes practicing different ways of asking for needs and responding to others.
Finding the right approach is part of the process. The therapist will discuss different ways of working and decide together which methods fit a person's needs, goals, and preferences. That collaborative planning happens early and can change as work progresses.
If you are considering online therapy, confirm the session formats available before booking. Online work can make it easier to fit sessions into a busy life, avoid travel time, and allow shorter check-ins when needed. Talk with the therapist about what will fit your schedule and what practical arrangements will help you stay engaged.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
Oklahoma
Languages
English
Frequently asked questions
What concerns does she address related to guilt and shame?
She helps people who carry guilt or shame about actions, identity, family, faith, or relationships. This includes related issues like abandonment, forgiveness, and family of origin problems.
How does she approach feelings of guilt or shame in therapy?
She names the feeling, looks for where it began, and works on practical ways to change self-critical thoughts and behavior. The focus is on understanding and testing new ways of responding to those feelings.
What is her clinical background and experience?
She is an LMFT with four years of experience working with adults on trauma, addiction, relationship issues, anxiety, and depression.
Where is she licensed and practicing?
She holds an Oklahoma LMFT credential and is based in Oklahoma.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions scheduled and paid for?
Session costs vary by location and use a subscription that can be canceled at any time.
What should I do to begin working together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.