- Guilt and shame
- Attachment issues
- CBT and ACT methods
About Tieaesha
Tieaesha Gaines is a California licensed marriage and family therapist - LMFT with 23 years of clinical experience. She helps people who are carrying stress, anxiety, relationship strain, trauma and abuse, and worries about self-esteem and motivation. She works with concerns that include attachment, codependency, communication struggles, and feelings of guilt and shame.
She focuses on practical conversations that let people say what they are thinking and feeling. Sessions are designed for clear, direct talk about what causes distress and what small steps might lessen it. She uses familiar approaches such as cognitive behavioral strategies and acceptance-based work to address thoughts and patterns that keep people stuck.
Her background includes long-term work with relationship issues and trauma-related concerns. That experience shapes how she notices patterns in attachment, control, jealousy, and forgiveness. She pays attention to how cultural background and experiences of prejudice affect someone's sense of self and relationships.
In sessions she draws on techniques from attachment-based, client-centered, and dialectical behavior therapy to help people build skills for emotion regulation and clearer communication. She also brings ACT tools to help people identify values and move toward them in small steps.
Tieaesha describes the first meetings as a place to map out what matters most and to set practical goals. She asks questions, reflects what she hears, and suggests skills to try between sessions. People who come with concerns about kink, non-monogamy, or alternative sexual cultures can discuss those topics without judgment.
Her practice is located in California and she works in English. Before booking, readers should confirm the current session options and scheduling details.
Therapeutic approaches and working online
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts without letting those thoughts dictate choices. It focuses on identifying personal values and taking small actions that align with them, which can help when guilt or shame keeps people stuck.Attachment-Based Therapy looks at how early relationship patterns affect current bonds and reactions. It can be useful for people who notice recurring trust issues, control problems, or repeated conflict in relationships.
Client-Centered Therapy emphasizes listening and reflecting so the person can find their own solutions. This approach supports clearer communication and builds on a person's own insights and strengths.
Finding the right approach is part of the work together. The therapist will talk with each person about needs, goals, and preferences and then try methods that fit. That collaborative process helps decide whether to lean more on skill-building, values work, or attachment-focused exploration.
Session formats are not specified in the biography, so confirm current online session options before booking. Online work can make it easier to fit sessions into a weekday break, reduce travel time, or allow shorter check-ins when schedules are tight. Therapists and licensed professionals commonly adapt exercises and behavioral skills for remote sessions so people can practice between meetings.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
23+ years
Listed in
California
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, relationship problems, trauma and abuse, self-esteem, and coping with life changes.
How does she approach feelings of guilt or shame?
She uses conversational, skill-based methods to name the thoughts and behaviors tied to guilt and shame and to practice alternative responses.
What is her professional background?
She is a California LMFT with 23 years of professional experience working with relationship and trauma-related concerns.
Where is she licensed to practice?
She holds the LMFT credential in California and practices there.
Which languages are supported in sessions?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How are sessions structured and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time; confirm current session details before booking.
What are the steps to begin working together?
Select the See online therapy options button, complete a 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.