Tierney graduated from the University of Central Arkansas with her Master's degree in Mental Health Counseling. Tierney has been working as a therapist across a variety of settings including private practice, inpatient/PHP/IOP, university counseling centers, and short-term virtual mental health programming. Tierney as a practitioner sees herself as passionate about the patient/therapist alliance. She feels this is one of the most important factors in patient progress and healing and strongly believes that “we are co-pilots on this journey, I am not working for you, I am working with you.” Tierney feels individualizing the patient’s needs and not cookie-cutting treatment plans is where we see patients take hold of their healing. Tierney uses a variety of approaches from CBT to DBT and even EMDR (Eye Movement Desensitization and Reprocessing) in changing thoughts, behaviors, and feelings and allowing larger changes in life to occur; however, she is not married to all techniques and feels that if “something doesn’t work for a particular individual, throw the book away." Her ideal client is someone ready and willing to work, okay with allowing themselves to create the space to “hear the hard stuff,” and prepared to show up in a way that creates the space necessary for healing.