About Carley

Carley Rothstein is a Licensed Clinical Social Worker with eight years of experience in education and clinical care. She started as a public school Exceptional Children’s teacher in North Carolina and later ran a tutoring and behavioral intervention business before moving into developmental services for infants and toddlers.

Carley blends those early education roles with clinical social work to support people facing complex challenges. She holds a Master of Social Work from the University of North Carolina Chapel Hill and a Graduate Certificate in Applied Behavior Analysis from Penn State World Campus.

Background and approach

As an LCSW she has provided outpatient therapy for depression, anxiety, trauma, and ADHD, among other concerns. She has also worked in schools, medical settings, group homes, and assisted-living facilities. Carley uses a client-centered style in sessions.

She focuses on practical skills people can use between meetings. That might look like behavior-focused strategies, mindfulness practices, or tools to manage emotions and daily routines. Her background includes supporting people with adoption and foster care questions, caregiving stress, aging-related adjustments, and neurodivergent needs such as autism and ADHD.

She also has experience with body image, kink-affirming care, and issues related to grief and life transitions. Outside of work she is an animal lover and caregiver to a son with Fragile X Syndrome, and often spends time with family, dogs, and bunnies. She aims to help clients find steadier routines, clearer communication, and more manageable days.

How therapeutic approaches translate to online care

Client-Centered Therapy centers the person in the room and uses conversation to set goals and priorities; it helps when someone wants sessions that respond to their pace and values. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns, which can be useful for worry, depression, and ADHD-related challenges.

Finding the right approach is part of the work. The therapist will collaborate with the client to decide which methods fit their needs, goals, and daily life. That means trying things, checking what helps, and adjusting the plan together over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video is useful for longer therapy sessions and face-to-face conversation, phone calls can be easier when bandwidth is limited, live chat works for quicker check-ins, and messaging supports short updates or reflections between sessions. These options make it easier to fit therapy into busy schedules and to use tools that match personal comfort and routine.

Questions people ask

What concerns does she help with?
She works with stress, anxiety, depression, trauma and abuse, ADHD, relationship and family issues, grief, eating and sleeping problems, parenting, anger, self-esteem, career questions, bipolar disorder, and coping with life changes.
How would you describe her therapy style?
She uses a client-centered approach and focuses on practical skills. Sessions often include behavior strategies, mindfulness, and tools to manage emotions and routines.
What is her professional background?
Her path began as an Exceptional Children’s teacher and academic tutor, then moved to developmental therapy for infants and toddlers, and later to outpatient and integrated behavioral health settings.
What credentials and region are listed?
She is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina and practices from that state.
Which languages are offered and are international clients supported?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to match different needs and schedules.
How does payment and cost work?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What should I do to begin therapy?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule sessions based on therapist availability.

What this therapist works with

Experience
8 years
Licensed
North Carolina
Languages
English

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