Pivoting is part of life.
Time to reroute and reset.
Pivotal Therapy Practice is here to support you through life challenges and new directions with compassion, warmth, and care.
Dr. Tamara Oppliger, PhD (aka Dr. O)
Clinical Psychologist & Owner
Welcome to Pivotal Therapy Practice.
At some point in life, we all feel stuck and need to pivot in a new direction. It’s okay to need support while you figure things out. That’s where I come in. My hope is to walk alongside you as you grow and move toward a life that is more connected, purposeful, and fulfilling.
I offer virtual therapy for adults (18+) across Virginia. I specialize in working with anxiety, depression, eating disorders, and trauma.
I have experience providing Cognitive Behavioral Therapy for anxiety and depression, and expertise using Enhanced Cognitive Behavioral Therapy (CBT-E) for eating disorders and Prolonged Exposure and Cognitive Processing Therapy for trauma disorders.
I also support people navigating mood disorders, grief and loss, life transitions, women’s health concerns, relationships, parenting, and identity questions.
Areas of Focus
Therapy can help you in better managing your anxiety by becoming more present, flexible and grounded. Together, we will build your ability to tolerate life’s uncertainties and worries with more calm and ease.
Whether you are seeking support for one traumatic event, chronic trauma, or multiple traumatic events – therapy can offer a safe and supportive space to process what you have been through.
In therapy, you can begin to recognize unhelpful thoughts and patterns related to food and your body. We can work together to create meaningful behavioral changes for a healthier lifestyle.
Therapy can help you feel better by gently shifting unhelpful thinking patterns and helping you engage in activities you value. Together, we will work on increasing your self-esteem and rebuilding connections with supportive people in your life.
Veterans and first responders
Retirees and older adults (65+)
College students
Individuals with body dissatisfaction
Stressed parents and caregivers
Individuals navigating fertility concerns
Perfectionists
People pleasers
High achievers and top performers
People with social anxiety
Individuals struggling with low self-esteem
Perinatal and postpartum women
Who I Work With
A compassionate understanding that pivoting is part of the process
Support that meets you where you are
Why Choose Pivotal Therapy Practice
Personalized, collaborative care
Flexible scheduling
Support that meets you
where you are
Grounded in evidence-based approaches
A compassionate
understanding that
pivoting is part of the process