Therapy for Individuals
Navigating the 21st Century

Counseling Services

  • Personal Counseling
  • Online Therapy
  • Psychological Evaluations / Mental Health Screenings
  • Surrogacy Evaluations
  • Third Party Reproduction and  Assisted Reproduction Technology Evaluations
  • Adoption Home Studies
  • Guardianship Evaluations
  • Bariatric Mental Health Screenings / Psychological Evaluations
  • MMPI-2-RF Assessments
  • Infertility Counseling


Congratulations! By checking out Counseling With TLC, LLC, and Tracy Birkinbine, you have found someone who understands and can help with the challenges life throws our way. Taking care of our mental health is just as important as taking care of our physical health. You have taken a great step in taking better care of yourself and gaining back some of your control in an out of control world!

EXCITING NEWS!! Online Counseling Now Available!

Counseling With TLC, LLC is now offering online counseling! You can choose live video or audio sessions, and texting plans. This type of healthcare has become more practical in this time of COVID-19. This can also be especially helpful if your geographic location is outside of the Daytona Beach, Florida Area, if you are homebound, or if your schedule makes it difficult to schedule traditional, in-person, counseling sessions or services.  Home Studies and Guardianship Evaluations are not available through online counseling. If you are interested in learning more about the plans for online therapy please visit my page at

Infertility and Adoption Counseling, Psychological Evaluations, and Mental Health Screenings

I specialize in the specific challenges and feelings associated with infertility and adoption, however I also work on loss and grief, and miscarriage.  My work with infertility and adoption also includes conducting psychological evaluations and mental health screenings (such as the MMPI-2-RF) needed for many assisted reproductive procedures (i.e. egg donation, sperm donation, embryo donation/adoption, and surrogacy).

Obsessive-Compulsive Disorder (OCD) Therapy

I am a licensed therapist specializing in Exposure and Response Prevention (ERP) therapy, the most effective OCD treatment. I have been trained by the top OCD experts and researchers in the world. In addition to owning and serving as a therapist for Counseling With TLC, I work as a therapist at NOCD , the top tele-therapy platform treating those with OCD.

Adoption Home Studies

If you're looking for someone compassionate to conduct your adoption home study, look no further.  As an adoptive mother myself, I understand the hoops needed to jump through for adoption, and the importance of finding someone you trust to come into your home and completely understand your situation.  I will make the process as stress free as possible and get your home study completed in a timely and efficient manner.

Guardianship Evaluations

The guardianship evaluation involves an inventory of one’s functional challenges and daily demands, how those are met, and how accommodated when not met. Home visits may be essential, depending on the functioning being assessed. The guardianship evaluation aims to determine exactly what a person needs a guardian for and what would enable the person to resume a more autonomous decision-making.  This evaluation is often used in cases of changes in guardianship for minor children.  Evaluations for guardianship may also be conducted when parents want to continue or resume guardianship of their adult child due to disabilities or incapabilities of independent functioning.

Bariatric and Weight Loss Mental Health Screenings and Counseling

Bariatric and Weight Loss Counseling is available.  I provide psychological evaluations and mental health screenings for those considering Bariatric Surgery.

I'm so glad you have decided to learn more about Counseling With TLC, LLC today. Now I would like to learn more about you! Please email or call today to see how I might be able to help you. I look forward to hearing from you!

Helpful Forms

Click here to view and print forms for your appointment.