Carleigh O'Brien , LCSW

Carleigh O'Brien is a Licensed Clinical Social Worker (LCSW) with nine years of clinical practice helping people navigate mood, relationship, and trauma-related concerns. She completed her degree at Walla Walla University in Missoula, Montana in 2013 and draws on evidence-based methods to support clients through both everyday struggles and more complex symptoms.

Her primary clinical tools include cognitive behavioral therapy (CBT) and mindfulness practices, and she incorporates solution-focused strategies and trauma-focused CBT when those approaches fit a person’s goals. Carleigh works with a range of issues such as mood disorders, difficulties with interpersonal effectiveness, attachment concerns, and other relational challenges. She emphasizes practical skills alongside reflective work to help clients build coping strategies and improve communication.

Whether addressing acute stress, the lasting effects of trauma, or patterns that interfere with relationships, Carleigh aims to create a collaborative therapeutic experience. Her training and chosen approaches support clients in developing clearer perspectives, more effective behavioral responses, and a greater ability to manage life’s transitions.

Approach-Focused Online Care with Practical Techniques

Carleigh integrates several psychotherapy approaches to meet each client's needs. Cognitive Behavioral Therapy (CBT) helps people identify unhelpful thoughts and patterns and replace them with more effective behaviors and coping strategies; it is often used for mood disorders, anxiety, and stress-related concerns. Mindfulness Therapy teaches present-moment awareness and self-compassion skills that can reduce reactivity and support emotion regulation in daily life. Attachment-Based Therapy explores patterns formed in early relationships and how those patterns influence current intimacy and communication, making it useful for relationship and attachment-related issues.

Finding the right approach is part of the therapeutic process. Carleigh works collaboratively with clients to determine which methods fit their goals, values, and preferences, and she adjusts techniques over time as needs evolve. This collaborative stance helps clients feel engaged in planning their care rather than following a rigid protocol.

Online therapy allows Carleigh to offer flexible access to care through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to schedule sessions around work, family, or other commitments, and they expand access for people who prefer remote sessions. Licensed professionals can provide effective therapeutic work through these formats, tailoring the mix of real-time and text-based support to each person's circumstances.