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- CBT and solution-focused
- Trauma-aware methods
- Motivational interviewing
About Carissa
LICSW (Washington) with nine years' experience, Carissa Streich helps people manage stress, anxiety, depression, and trauma-related concerns. She works with issues such as relationship strain, addiction, grief, eating concerns, and career stress. Carissa also addresses identity and sexuality topics, first responder and veteran issues, and complications from divorce or blended families.
Carissa uses Client-Centered Therapy alongside Cognitive Behavioral Therapy and Psychodynamic ideas. She often combines solution-focused techniques and motivational interviewing to set practical goals and encourage change. Her style can be direct while remaining respectful; she adjusts pace and approach to what the person needs.
Sessions focus on concrete skills and clearer thinking, as well as examining patterns that keep people stuck. For trauma and abuse she applies trauma-aware methods that prioritize stabilization and safety before deeper processing. With mood and bipolar concerns she works on coping strategies, rhythm and behavior patterns that affect mood.
People seeking help for workplace stress, compassion fatigue, or navigating non-monogamous relationships will find targeted, practical steps in sessions. Carissa offers support for young adult issues and questions about sexuality without labeling or judgment. She also addresses family problems and blended family dynamics by helping individuals clarify boundaries and communication goals.
Her approach is collaborative: she helps set goals, tracks progress, and adapts methods as work proceeds. To begin, clients follow a short intake and schedule a first session to see whether the fit feels right.
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How her approaches translate to remote sessions
Carissa commonly draws on Client-Centered Therapy and Cognitive Behavioral Therapy in session. Client-Centered Therapy centers on the person's concerns, listening closely and responding to what matters most to them. It helps when someone needs space to be heard and to sort priorities. Cognitive Behavioral Therapy works on the links between thoughts, feelings, and behaviors and teaches practical tools to change unhelpful patterns; it is often used for anxiety, depression, and stress.Finding the right method is part of the work together. Carissa will review goals and preferences and suggest approaches that match the situation. That conversation is collaborative and can change as progress is made or needs shift.
Confirm current session formats before booking, as this profile does not specify them. Online sessions can make it easier to fit therapy into a busy schedule, require less travel time, and allow shorter check-ins when needed. They also let people use written or worksheet-based exercises between meetings and practice skills in day-to-day contexts. Ask about the available session formats during the intake so sessions are planned to fit your routine.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
Washington
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, trauma and abuse, relationship and family issues, addictions, grief, eating concerns, anger, self esteem, career challenges, and related areas such as first responder and veteran issues, polyamory and divorce.
What is her therapeutic style?
Carissa uses a mix of Client-Centered Therapy, Cognitive Behavioral Therapy, psychodynamic ideas, solution-focused work, and motivational interviewing. Her style can be direct and she adjusts pace and focus to each person's needs.
How much experience does she have?
She has nine years of professional experience working in clinical social work settings and community care.
What are her credentials and where is she based?
She is a LICSW licensed in Washington and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions priced?
Cost varies with location; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to start?
Begin by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.