Pristine Advancements

Hello, I’m delighted to meet you!

The name of my private practice is Pristine Advancements. As a Licensed Clinical Professional Counselor (Maryland- #LC6200, Texas- #86412, Oklahoma- #LPC05552), I have experience supporting adults seeking assistance in anxiety, grief, sexual trauma, religious trauma, emotional regulation, and stress management. I provide virtual therapeutic services to adults.

By providing a safe space, we work together to deepen self-awareness while helping you gain insight on ways to expand your coping skills to live an emotionally and mentally healthier life.

As an eclectic Therapist with over a decade of experience, I bring a holistic approach to our work.  Our sessions include concrete takeaways coupled with supportive encouragement and deep listening.

I look forward to walking with you on your journey toward a more mentally, emotionally, and spiritually stable life.

Tiffani Dilworth, MA, LCPC


I offer virtual individual psychotherapy for adults via HIPPA-compliant video and/or audio platform called

Pulling from various styles, I incorporate mindfulness-based interventions, somatic-based interventions, transactional analysis-based interventions, cognitive behavioral therapy, solution focused therapy, gestalt therapy, narrative therapy, trauma focused cognitive behavioral therapy, dual process model of grief, and ATTEND grief model.

I have experience supporting clients through a variety of issues, many are noted below:

  • Adjusting to change
  • Anxiety
  • Communication
  • Coping skills
  • Sexual Trauma
  • Religious Trauma
  • Depression
  • Emotional overwhelm
  • Grief, loss, and bereavement
  • Self-care
  • Self-compassion
  • Self-confidence
  • Stress


How do I begin?

If you believe we’ll be a good fit, send a message on my “Connect” page to set up a free 15-minute phone consultation. At that time, we’ll discuss what’s bringing you to therapy and I’ll share ways I can support.

Next, I’ll send an email with forms to review and fill out. Once those forms are completed and received, we’ll schedule our first appointment.

The day of our first appointment, you’ll receive a link to our session. A few minutes before the session click on the link and you’ll enter the waiting room.

During our first few sessions we’ll discuss your history, current situation and concerns, and goals for therapy.  We’ll also explore resources and helpful tools to practice between our sessions. This initial period allows us to get to know one another and explore how best I can serve your needs.

What is your fee?

My fee is $150 per 50-minute session.

How long are sessions?

Our sessions are 50 minutes.

What payment methods do you accept?

I accept all major credit, debit cards, and Bitcoin. Payment is due at the end of session.

Do you accept insurance?

I’m an out-of-network provider and do not work directly with any insurance company in-network. You may be eligible for partial reimbursement depending on your plan. Upon request I will provide you with a monthly statement to submit for reimbursement.

What should I ask my insurance company?

My services may be reimbursable through your plan’s out-of-network mental health benefits. Prior to beginning treatment, I encourage you to verify your coverage by asking: Does my plan include coverage for out-of-network mental health services? How much does my plan cover for an out-of-network provider? What is my deductible for out-of-network services and has it been met? Do I have a session limit? What form(s) do I need for submitting my invoice(s) to receive my out-of-network benefits? Is teletherapy covered?

No Surprises Act & Good Faith Estimates (January 2022)

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit (Reprinted from Centers for Medicare & Medicaid Services)

How often do we meet?

For continuity, I prefer to meet with clients once a week. Together we will coordinate a schedule that works best with your preferences, finances, and issues. As progress towards goals are made, sessions may reduce to bi-weekly, monthly, or as needed.

What if I need to cancel an appointment?

Although issues such as family and work emergencies, childcare issues, or illness may arise that make it challenging to keep your appointment, I do have a firm 24-hour cancellation policy. Since the appointment time has been set aside just for you, there will be a partial charge of $65 for any cancellations within 24 hours.

How do I contact you?

You can reach me via e-mail (, via phone (832.797.8451), or via my “Connect” page. If you are in crisis and need immediate assistance, please dial 9-1-1 or go to your nearest emergency room.

More Questions?

Please e-mail me (, call me at phone (832.797.8451), or send a message via my “Connect” page.

What Clients are saying…

“Tiffani is so supportive and sweet. She is nonjudgmental and willing to help dig into my issues without hesitation. I really enjoy working with her!”

“Tiffani is very consistent, attentive, and helps me to remain focused on the positive. She doesn’t let me derail from the hard stuff and brings me back to face what is difficult with a gentle and neutral stance. Her gentle manner allows me to have my own feelings and to face what is challenging. She is skilled at what she does.”

“Kind and empathetic”

“Thank you for helping me work through so much this past year. The work we’ve been doing has really been a game changer in improving my quality of life and taking care of myself. I really appreciate your help!”