Tanya Grame
Psychologist
Tanya GramePhD
PhD, Pacific Graduate School of Psychology, 2001
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and most major plans
What I enjoy most about working with older adults is how much I learn from them.
Q&A with Tanya
Getting to know Tanya
What do you enjoy most about working with older adults?
What I enjoy most about working with older adults is how much I learn from them. Their life experiences and wisdom bring so much value to the therapeutic relationship. I love being able to support them and provide new skills and ways of looking at themselves, others and the world while preserving their independence. I love being able to help them improve their quality of life and ultimately access their joy.
Why does online therapy work well for older adults?
I think online therapy works well for older adults in that it makes therapy more accessible. Many older adults may have mobility challenges and online therapy avoids the need to travel to get to their therapy appointment. This creates a more convenient way to get support and can offer more privacy.
It also provides a sense of safety and familiarity which can decrease anxiety. Online therapy can provide the same support and resources that in person therapy does but without the stress of travel and time.
How do you approach therapy sessions?
I approach therapy sessions with a client-centered approach. I believe that working together, tailoring skills and techniques to the individual is imperative. I provide a space that is supportive and nurturing while being direct with a gentle push in order to assist the client in successfully reaching their goals. I take the time to get to know and understand the client in order to help restore balance and their quality of life.
My approach to therapy is very eclectic and tailored to the unique needs of the client. I use evidence based treatments such as Eye Movement Desensitization and Reprocessing (EMDR), Cognitive-Behavioral Therapy and mindfulness-based techniques. I use these evidence based strategies in order to assist the client develop healthier coping skills and foster greater insight in order to reach their goals.
What inspired you to become a therapist?
What inspired me to become a psychologist was my interest in understanding human behavior and helping others. As a teen, I was always the one the other kids came to for advice and/or just to have an empathetic ear. Ironically, when I went to college I was a pre-med student determined to become a surgeon.
However, after I took a course in psychology, that all changed. I became a psychology major and changed my career path. A Ph.D. in psychology allowed me to study human behavior via psychological testing and allowed me to listen and help others to experience emotional healing.
Throughout my career, I found myself often working with trauma related issues and subsequently I work from a trauma perspective which has allowed me to help others find inner peace and joy. It's an honor to see my clients grow and heal.
What is your advice for someone starting therapy for the first time?
Starting therapy for the first time can be scary, daunting, anxiety producing and exciting all at once. These are normal feelings to have. Many first timers don't know what the first session will look like and have lots of questions. Sometimes making a list of the questions you may have about therapy can be helpful.
Typically the first session is for the clinician to learn as much as he/she can about the client, so there will be lots of questions for the client to answer, which may answer some of your questions and will ultimately help guide the session.
After the initial appointment is complete, the clinician should have a good idea about what the client's issues are and should provide the client with an idea of what treatment may look like based on the client's answers. Usually, the second or third session is when the treatment actually begins.
There is no right or wrong way to do therapy. My advice is to come to therapy open and engaged. Cultivating the therapeutic relationship with your therapist takes time. Trust the process.
What do you wish people knew about therapy?
I wish people knew that therapy is for anything. It's not just for "trauma/crisis," but for individuals who seek personal growth, support or self actualization. Therapy is a safe place to explore your thoughts and feelings while developing new coping skills and establishing insight into oneself. Therapy is unique to the individual and is for anyone who seeks some kind of change and ultimately finding their inner joy.
Starting therapy for the first time can be scary, daunting, anxiety producing and exciting all at once.
A fun fact about me is that I enjoy crafting. I use sublimation to make mugs, hats, t-shirts, blankets and/or anything I can get my hands on. If I'm not crafting, then I'm boxing at the gym, dancing with friends somewhere or traveling with my family.
Common questions
Frequently asked questions
Choose a topic. Can’t find your answer? Call our care team at 1-800-567-LIFE.
About Total Life
Who is the service for?
Our service is tailored for seniors looking to navigate the challenges of aging and aiming to make their golden years, golden.
What is the core purpose of your teletherapy service?
Our core purpose is to help as many seniors as possible access the mental health care they need, irrespective of their insurance coverage. We believe everyone deserves quality mental health care.
How is your service tailored to seniors?
Our platform is easy to use, with straightforward steps to connect you with a therapist. Additionally, our care team is always ready to assist you from start to finish.
How can teletherapy help me feel like the best version of myself?
Teletherapy provides a supportive environment to explore and address concerns, helping you work through challenges and promoting mental well-being.
How is your service different from conventional therapy?
Unlike conventional therapy, we provide access to therapy through Original Medicare coverage. Our care team facilitates a smooth process from the initial call all the way through ongoing care.
Insurance & coverage
Are your teletherapy services covered by Original Medicare?
Yes, our services are accessible through Original Medicare coverage, making mental health care more accessible for seniors.
Do you accept insurance plans other than Original Medicare?
Yes, we accept select Medicare Advantage (MA) plans. Please contact our care team to verify if your specific plan is accepted.
How do I pay for my sessions?
Payment can be made through various methods including Original Medicare coverage. Our care team can provide more detailed information based on your specific situation.
Is there a limit to the number of sessions I can have?
Original Medicare has an uncapped session limit; the number of sessions will be determined based on your individual needs and treatment plan.
What is a Superbill and how can it benefit me?
A Superbill is an itemized form that details the services you have received from us. It provides all the information needed to submit a claim to your insurance for out-of-network reimbursement.
If I have out-of-network benefits, how does the reimbursement process work?
If you have out-of-network benefits, you can submit the Superbill we provide to your insurance company for reimbursement. The reimbursement rate and process depend on your plan.
How do I obtain a Superbill for my sessions?
After each session, we can provide you with a Superbill. Our care team will assist you in generating a Superbill for your records.
Therapists & sessions
How experienced are your providers in working with older adults?
Our providers are hired specifically for their experience with older adults. They are trained and equipped to understand and address the unique mental health needs of seniors.
Can I choose my therapist?
We make every effort to match you with a therapist who has the right experience and expertise for your needs. If you have a preference, we’ll do our best to accommodate it.
What if I don’t feel a connection with my therapist?
It’s important to have a good rapport with your therapist. If for any reason you wish to change therapists, just let us know and we’ll facilitate a switch.
How is progress measured in teletherapy?
Progress is measured through regular reviews and discussions between you and your therapist, ensuring that the therapy is effective and meeting your needs.
Getting started
How quickly can I start with my therapy sessions?
Our care team is dedicated to facilitating a quick and easy process from your first phone call to setting up a therapy session on the same call.
How do I schedule a teletherapy session?
Scheduling a session is simple. Just give us a call at 1-800-567-LIFE and our care team will assist you in setting up a session on the first call itself.
Do I need any special equipment for teletherapy?
All you need is a computer, tablet, or smartphone with a camera and microphone, and a reliable internet connection. Phone-only sessions are also available.
What if I need to cancel or reschedule my appointment?
We have a flexible cancellation and rescheduling policy. Just contact our care team and they will assist you with the necessary changes.









