In college towns and the farm country around them, therapists are often booked up, and the ones with openings can be an hour away. Online therapy lets you start without either.
I’m Tammy Gold, licensed in Iowa as an independent-level social worker (LISW #141693). I see adults in Ames, Nevada, Boone, Marshalltown, Waterloo, Cedar Falls and across central and northeast Iowa by video.
Online sessions for adults located in California, New Jersey, Oregon, Maine or Iowa. Alma checks your specific plan before you book.
Check Insurance and Availability on Alma →
A 30-second welcome from Tammy. Watch on its own page
In Ames and Cedar Falls, university employees and their families often want a therapist outside the campus community. And in the small towns around them, getting to any therapist can mean a long drive.
Video sessions mean you can meet from home, the office or a parked car, and keep your sessions even in a snowstorm.
This is individual psychotherapy with a licensed clinician. It isn’t coaching. Couples and family sessions are a different format that insurance may treat differently, so ask before you book if you’re interested in a joint session.
Sessions combine a standard clinical assessment with the Care Map Method™, the framework I use to look at your sleep and health, your feelings, your relationships and your daily demands, then build one practical change at a time. More about therapy in Iowa.
Pick one thing you do to a high standard that no one else would notice if you did it to a lower one, like the inbox, the house or the perfect lunchbox. For two weeks, do it at “good enough.” Notice what happens to your time and your stress.
Sessions are online by video for adults who are physically located in Iowa, or another state where I’m licensed, during each session. I’m licensed in Iowa (LISW #141693), and also in California, New Jersey, Oregon and Maine.
Through Alma, I’m in network with Aetna, Cigna, Carelon, Blue Cross Blue Shield of Massachusetts, and Optum plans including UnitedHealthcare, Oscar and Oxford. Coverage depends on your specific plan, not only the insurance company’s name. Alma checks it before your first session, including any copay or deductible, and handles the billing. How using insurance works.

Columbia University–trained therapist · University of Pennsylvania graduate
I’m a licensed clinical social worker (California LCSW #136364; New Jersey LCSW #44SC05528100; Oregon LCSW #L16530; Maine LCSW #LC26593), a licensed independent social worker in Iowa (LISW #141693) and the founder of the Care Map Method™. I’ve worked directly with families for more than 20 years. My book, Secrets of the Nanny Whisperer (Penguin), is about finding and working with a nanny; my therapy work draws on my broader clinical training.
I’ve also shared parenting and family guidance as an expert for outlets including the Today Show, Good Morning America and The New York Times. Press and media.
Yes, adults in any field. If your employer offers an employee assistance program, that’s a separate benefit; you can also use your health plan through Alma if it covers sessions with me.
Yes, adult students who are physically in Iowa during sessions. Many students also have counseling through their school, which is worth checking first.
We’ll plan around it: a better spot, a phone hotspot, or a backup by phone.
We talk about what brings you in, your history, your support and your safety. You leave with one small, specific thing to try.
I see clients through Alma, and through Alma I’m in network with Aetna, Cigna, Carelon, Blue Cross Blue Shield of Massachusetts, and Optum plans including UnitedHealthcare, Oscar and Oxford. Coverage still depends on your specific plan. Alma checks it before your first appointment, including any copay or deductible. Please share plan and health details through Alma’s secure intake, not by text or email.
Yes, or in another state where I’m licensed. Sessions are online by video, and you need to be physically in Iowa, California, New Jersey, Oregon or Maine during each one. If you’ll be traveling, tell me ahead of time so we can plan around it.
Check whether your plan covers sessions and see my open times on Alma.
Check Insurance and Availability on Alma →General questions: tammy@caremapmethod.com · Text a general booking question: (818) 308-1358
Please don’t send health or insurance details by text or email. Alma’s secure intake is the place for those.
If you’re in crisis or thinking about harming yourself, call or text 988, or call 911. Online therapy can’t respond to emergencies.