Tieaesha Gaines, LMFT

Therapist in California

Tieaesha Gaines is a Licensed Marriage and Family Therapist (LMFT) practicing in California with 23 years of experience.

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Licensed inCalifornia
License82021
NPI 1295935567
Experience23+ years
LanguagesEnglish

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Tieaesha

Tieaesha Gaines is a Licensed Marriage and Family Therapist (LMFT) practicing in California with 23 years of experience. She focuses on stress, anxiety, relationship concerns, trauma and abuse, and supports people working on self-esteem and life transitions. Her approach is calm and straightforward, aimed at helping people make practical changes that matter day to day.

She creates a welcoming space where clients can talk about painful or confusing feelings without judgment.

Background and approach

Sessions center on clear goals and simple steps clients can use between meetings. She listens closely and helps each person name what matters most to them. Tieaesha often draws on Attachment-Based Therapy to look at how early bonds affect current relationships.

She also uses Acceptance and Commitment Therapy and Client-Centered methods to help people accept difficult emotions while moving toward their values. Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills are used when clients need tools for managing thoughts, emotions, and behavior. She has worked with concerns such as attachment issues, codependency, communication problems, control issues, and the effects of prejudice and discrimination.

She also supports people navigating non-traditional relationship styles including polyamory and kink-related matters. Her work includes helping people cope with divorce, grief, and midlife transitions. Tieaesha speaks English and practices in California.

She encourages anyone feeling stuck or overwhelmed to reach out and begin with a simple conversation about goals and next steps.

Credentials

LMFT (California): License 82021 · expires October 2027
NPI: 1295935567 · national provider identifier

Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.

Focus areas and approaches

Everything Tieaesha lists on their public professional profile, in their own terms.

Stress, Anxiety
Relationship issues
Trauma and abuse
Self esteem
Coping with life changes
Attachment issues
BDSM, kink, and alternative sex culture
Codependency
Communication problems
Control issues
Divorce and separation
Forgiveness
Guilt and shame
Jealousy
Life purpose
Midlife crisis
Multicultural concerns
Polyamory / non-monogamous relationships
Post-traumatic stress
Prejudice and discrimination
Self-love
Sex addiction
Sexual dysfunction
Sexuality
Women's issues
Young adult issues

Approaches Tieaesha names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Using attachment and skill-based work in online sessions

Attachment-Based Therapy looks at how early relationships shape current patterns. It helps people identify repeating dynamics in their close relationships and try new ways of relating. Acceptance and Commitment Therapy (ACT) helps people accept difficult feelings while moving toward their values, which is useful for anxiety, stress, and life transitions. Client-Centered Therapy focuses on a warm, nonjudgmental relationship where the client’s goals guide the work and the therapist reflects and supports those goals.

Choosing the right approach is part of therapy. The therapist will work with each person to decide which methods fit best for their goals and personality. That choice is collaborative and can change as needs evolve over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone calls can be easier when bandwidth is limited or when a quick check-in fits a busy day. Live chat and text-based messaging let clients share thoughts in writing, follow up between sessions, or use shorter check-ins when that works better for their schedule. These options offer flexibility to fit therapy into daily life while using the same therapeutic approaches and skills outlined above.

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Frequently asked

What concerns does she address?

Tieaesha helps with stress, anxiety, relationship struggles, trauma and abuse, self-esteem, and coping with life changes. She also addresses attachment issues, codependency, communication problems, and relationship styles like polyamory or kink-related topics.

What is her therapeutic style?

Her style combines Attachment-Based Therapy with practical skills from ACT, CBT, and DBT. Sessions aim to be collaborative, down-to-earth, and focused on clear steps clients can use between meetings.

How long has she practiced?

She has 23 years of professional experience working with people on a wide range of emotional and relationship concerns.

Where is she licensed and located?

She is a Licensed Marriage and Family Therapist (LMFT) licensed in California and practices in that state.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted. She works with people located in California.

What session formats are available?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.

How does payment and getting started work?

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 availability.

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