Tiera Couch, LMSW

Tiera Couch, LMSW

Psychotherapist
MI
I'm the founder of Unfcked Therapy and Wellness, a practice created for people who are tired of holding everything together while feeling unseen, overwhelmed, or disconnected from themselves. I work best with individuals who are navigating trauma, anxiety, identity exploration, burnout, boundary challenges, and the lasting impact of oppressive systems and early survival roles. My clients are often the ones others rely on, high-functioning, self-aware, capable yet privately exhausted, overextended, or struggling to prioritize themselves without guilt. Many are unpacking childhood conditioning, relational patterns, cultural stressors, or experiences tied to race, gender, sexuality, and family dynamics. My therapeutic style is warm, collaborative, and grounded. I integrate evidence-informed approaches with a direct, human-centered presence. Sessions are a space for honesty, reflection, emotional processing, and practical skill-building. I focus on helping clients understand their patterns, regulate their nervous systems, strengthen boundaries, and develop more sustainable ways of relating to themselves and others. I'm deeply invested in helping people reconnect with themselves in ways that feel authentic, stabilizing, and self-defined. I bring sincerity, attunement, and accountability into the therapeutic relationship. My role is to support, challenge, and collaborate with you as you build a life that feels more aligned, grounded, and internally coherent.

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Today, May 14 – Wed, May 27
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About Tiera Couch

Focus areas

Anxiety
Therapy
Depression
Psychotherapy

Clientele seen

Young adults (18-24)
Adults (25-64)
Individuals

Treatment approaches

Attachment-based
Interpersonal
Cognitive Behavioral (CBT)
Multicultural
Culturally Sensitive
Narrative

Identity

Gender

Female

Ethnicity

Black or African American

Languages spoken

English

Getting to know Tiera Couch

I'm the founder of Unfcked Therapy and Wellness, a practice created for people who are tired of holding everything together while feeling unseen, overwhelmed, or disconnected from themselves. I work best with individuals who are navigating trauma, anxiety, identity exploration, burnout, boundary challenges, and the lasting impact of oppressive systems and early survival roles. My clients are often the ones others rely on, high-functioning, self-aware, capable yet privately exhausted, overextended, or struggling to prioritize themselves without guilt. Many are unpacking childhood conditioning, relational patterns, cultural stressors, or experiences tied to race, gender, sexuality, and family dynamics. My therapeutic style is warm, collaborative, and grounded. I integrate evidence-informed approaches with a direct, human-centered presence. Sessions are a space for honesty, reflection, emotional processing, and practical skill-building. I focus on helping clients understand their patterns, regulate their nervous systems, strengthen boundaries, and develop more sustainable ways of relating to themselves and others. I'm deeply invested in helping people reconnect with themselves in ways that feel authentic, stabilizing, and self-defined. I bring sincerity, attunement, and accountability into the therapeutic relationship. My role is to support, challenge, and collaborate with you as you build a life that feels more aligned, grounded, and internally coherent.

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In-network insurances

Cigna
UnitedHealthcare
UnitedHealthcare Oxford
200+ more in-network plans

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It’s common for mental health providers to be out-of-network. Many insurance plans offer out-of-network coverage, so you may get partially reimbursed. Learn more

More information on payments and coverage

After scheduling your appointment through Zocdoc, you will receive a follow-up email from Tava with instructions to complete the necessary registration in our patient portal, including insurance and payment details. Placing a credit card on file is required to process insurance billing and any applicable deductible-related charges. Please complete your registration within 24 hours to ensure a smooth check-in and avoid delays in accessing care. If registration is not completed in time, we may not be able to verify your insurance coverage, which could result in unexpected out-of-pocket costs for your visit. Per our office policies, a fee may be charged for missed appointments or late cancellations.

Popular visit reasons

Anxiety
Depression
Family Issues
Gender Affirming Counseling
Psychotherapy
Stress
Therapy
Anxiety
Depression
Family Issues
Gender Affirming Counseling

Education and background

Practice names

Education and training

  • Wayne State University, Master's in Social Work

NPI number

1093283434

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Frequently asked questions

How soon can I make an appointment with Tiera Couch?

Generally, Tiera Couch has appointments available on Zocdoc within 1 week. You can see Tiera Couch's earliest availability on Zocdoc and make an appointment online.

Is Tiera Couch accepting new patients?

Tiera Couch generally accepts new patients on Zocdoc. You can see Tiera Couch's earliest availability on Zocdoc and schedule an appointment online.

Does Tiera Couch accept my insurance?

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Can I make an appointment with Tiera Couch online?

Yes, you can make an appointment online with Tiera Couch using Zocdoc. It’s simple, secure, and free.

What practice does Tiera Couch work with?

What languages does Tiera Couch speak?

Tiera Couch speaks English.

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