About Tarrah
Tarrah Grady is a Licensed Clinical Social Worker with 17 years of clinical experience. She brings a practical, empathetic style to sessions and focuses on helping people manage stress, anxiety, addictions, grief, depression, and ADHD. Her approach is warm and interactive, with an emphasis on real-life steps people can use day to day.
She has worked in hospitals, clinics, inpatient addiction treatment, prisons, schools, and suicide intervention organizations. That range of settings has given her experience with crisis intervention, group work, and individual counseling.
Background and approach
She also has experience supporting people around relationships, intimacy, parenting concerns, and career strain. Tarrah uses several evidence-informed methods to meet clients where they are. She draws on cognitive behavioral techniques to change unhelpful thoughts and behaviors, mindfulness-based ideas from acceptance and commitment work to build tolerance for hard feelings, and skills from dialectical behavior therapy to manage emotion and improve communication.
She has also worked with trauma-related issues and uses eye movement desensitization and reprocessing for clients who have that need. Her background includes work with adoption and foster care topics, attachment concerns, autism and Asperger Syndrome, caregiver stress, and complex health or life transitions.
Tarrah earned a Bachelor of Social Work from the University of Central Missouri and a Master of Social Work from Washington University in St. Louis. She holds a Missouri Licensed Clinical Social Worker license.
Sessions are offered in English and she accepts international clients.
Approaches that guide online sessions
Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them, then take steps toward what matters. It is useful for anxiety, stress, and life transitions where values-based action is important.Cognitive Behavioral Therapy focuses on identifying unhelpful thinking and changing behavior patterns. It is practical and often used for depression, anxiety, sleep problems, and coping with ADHD-related challenges.
Dialectical Behavior Therapy provides concrete skills for managing intense emotions, improving relationships, and reducing impulsive behavior. Those tools can be helpful for anger, relationship struggles, and emotional regulation needs.
Tarrah approaches choice of method as a collaborative process. She will work with each person to decide which approach or combination of approaches fits their goals and preferences, and adjust over time based on progress and feedback.
Online sessions offer practical flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions work when bandwidth is limited or a shorter check-in is needed, and live chat or text-based messaging suit quick updates or ongoing support between sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules while still using evidence-informed approaches.
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Missouri
- Languages
- English
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