- Guilt and shame work
- EMDR and CBT
- Motivational interviewing
About Tiffany
Tiffany Pallas is a Licensed Clinical Social Worker (LCSW) in Colorado with 24 years of experience. She works with adults on concerns such as anxiety, depression, grief, trauma, relationships, and addictions, and lists guilt and shame among the issues she addresses.
She has long experience using evidence-informed methods for trauma and related problems. Tiffany describes helping people who feel overwhelmed after difficult life events, including those coping with loss, substance use, and chronic stress. She aims to make sure each person's voice is heard during sessions.
In practice she uses a range of approaches, including client-centered work, cognitive behavioral techniques, dialectical behavior tools, EMDR, and motivational interviewing. Sessions often focus on practical coping skills, addressing painful memories, and changing patterns that maintain distress. Conversations are meant to identify small, doable steps forward.
Tiffany also works with issues around body image, sexual subcultures such as BDSM and kink, family of origin concerns, and communication problems. She brings that focus into sessions when relevant and will collaborate with the person to decide what to address first.
Her stated approach emphasizes partnership and skill-building. With permission she helps people develop concrete strategies they can use between sessions. People who are carrying shame or guilt can expect direct, calm conversation about what keeps those feelings alive and what might reduce their everyday impact.
How therapeutic approaches are used in online sessions
Client-Centered Therapy focuses on listening and responding to what the person brings. It relies on the therapist reflecting concerns and prioritizing what matters most to the client, which helps shape the session and goals.Cognitive Behavioral Therapy, or CBT, looks at unhelpful thoughts and behaviors and replaces them with practical tools. It is often used for anxiety, depression, and patterns that fuel guilt or shame by teaching skills to test and change thoughts.
EMDR addresses distressing memories and the feelings tied to them through a structured process that can reduce the emotional intensity of those memories. It is commonly used for trauma-related symptoms and strong, persistent shame or guilt connected to past events.
Deciding which approach to use is collaborative. The therapist will talk with the person about their goals, symptoms, and preferences and then suggest one or more methods. That plan can be adjusted over time as needs and goals change.
Confirm the current session formats before booking, as the profile does not list specific options. Online work can make sessions easier to fit into busy days, allow shorter check-ins when needed, and reduce travel time. Licensed professionals can apply these approaches in remote sessions to focus on coping skills, memory processing, or behavioral experiments while adapting to each person's day-to-day life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
24+ years
Listed in
Colorado
Languages
English
Frequently asked questions
What kinds of problems does she help with?
Tiffany works with anxiety, depression, grief, trauma, addictions, relationship struggles, and related concerns such as body image and family of origin issues.
How does she approach guilt and shame?
She uses client-centered talk alongside methods like CBT and EMDR to look at the thoughts and memories that keep guilt and shame active, and to build practical coping skills.
How much experience does she have?
She has 24 years of clinical experience working with adults on trauma, mood, and addiction-related issues.
What are her credentials and where does she practice?
She is an LCSW licensed in Colorado and practices there.
Does she offer sessions in other languages?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions scheduled and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to start working with her?
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.