About Carleigh

Carleigh O'Brien is a licensed clinical social worker with nine years of experience offering talk-based therapy from Montana. She focuses on clear, practical help for people dealing with stress, anxiety, depression, grief, and ADHD. Her approach is down-to-earth and goal oriented, so sessions are often about making small changes that add up.

Carleigh uses tools from cognitive behavioral therapy and mindfulness to help people spot unhelpful thoughts and test new ways of responding.

Background and approach

She also draws on attachment-based ideas to look at how early relationships influence current patterns. Sessions tend to be conversational and collaborative, with time spent on real-life coping skills and step-by-step plans. People come to her for a range of concerns, including trauma and abuse, postpartum depression, relationship and communication problems, and workplace stress.

She also supports clients managing mood disorders, bipolar symptoms, anger, and issues around intimacy and self-esteem. Carleigh pays attention to specific stressors like parenting demands and major life transitions. Her style is warm and practical.

She listens with curiosity and helps people choose strategies that fit their routines and values. Therapy can include short exercises, mindfulness practices, and actions to try between sessions. Carleigh provides services in English from Montana and offers several online session formats.

To start, readers can use the platform's matching process to connect and schedule a first appointment.

Therapeutic approaches and how they work online

Acceptance and Commitment Therapy, or ACT, focuses on clarifying personal values and taking actions that matter despite difficult thoughts or feelings; it can help when worry or avoidance gets in the way of daily goals. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and provides concrete exercises to change unhelpful patterns; it is often used for anxiety, depression, and stress. Attachment-Based Therapy examines patterns of relating formed early in life and helps people shift how they connect and communicate in current relationships.

Finding the right approach is part of the work. Carleigh will collaborate with each person to decide which methods match their needs, goals, and preferences. Together they try techniques, talk about what helps, and adapt the plan as progress is made.

Online sessions include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth conversations and exercises that benefit from face-to-face interaction. Phone sessions can fit into a busy day or use less bandwidth. Chat and messaging are helpful for brief check-ins, homework, or when a shorter, flexible touchpoint is preferred. These options make it easier to fit therapy into work, school, or family life and let people choose what works best for them.

Questions people ask

What kinds of concerns does Carleigh help with?
She helps people with stress, anxiety, depression, grief, ADHD, trauma and abuse, relationship and communication problems, parenting stress, bipolar mood concerns, and related issues.
How would you describe her therapeutic style?
Sessions are conversational and practical, focusing on skills to manage thoughts, emotions, and everyday challenges using CBT and mindfulness techniques alongside attachment-informed work.
What is her background and experience?
She has nine years of clinical experience and holds the LCSW credential. Her work has included helping people with mood disorders, trauma, and relational concerns.
Where is she based and what license does she hold?
She practices from Montana and is credentialed as an MT LCSW.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available online?
Therapy is offered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How are costs and billing handled?
Costs vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps do I take to begin therapy?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule appointments according to therapist availability.

What this therapist works with

Most often

Experience
9 years
Licensed
Montana
Languages
English

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