- CBT strategies
- Psychodynamic insight
- Solution-focused goals
About Carissa
Carissa Streich is a Licensed Independent Clinical Social Worker (LICSW) in Washington with nine years of experience. She works with adults facing stress, anxiety, depression, relationship strain, and major life changes. Her practice also includes people coping with trauma, abuse, grief, addiction, and concerns around sexuality and identity.
She uses clear, practical conversation rather than jargon. Sessions focus on breaking problems into manageable steps and building skills for daily life. Carissa blends cognitive behavioral ideas with psychodynamic thinking to notice patterns and change unhelpful habits.
Clients can expect a direct, strengths-oriented style that still attends to emotional safety. She has experience with first responder and veteran issues, compassion fatigue, and the special strains that come with divorce, separation, and blended family situations. Those concerns are discussed plainly and without judgment.
Carissa also uses motivational interviewing to support decision-making and solution-focused techniques to set short-term goals. When trauma is part of the story, she works with trauma-informed principles to avoid retraumatizing and to pace work appropriately. She adapts pace and focus to each person's needs.
She conducts sessions in English and practices in Washington state. Practical matters such as cost depend on location and use a subscription model that can be canceled at any time. To begin, interested people complete a short matching questionnaire and schedule a first session.
How Carissa’s approaches translate to online sessions
Client-Centered Therapy focuses on listening and responding to what matters most to the person. It emphasizes respect, plain feedback, and adapting pace to what someone can handle. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and teaches concrete skills to change patterns; it is often used for anxiety, depression, and stress. Motivational Interviewing helps people clarify what they want to change and strengthen their own reasons for doing so, which is useful for addictions, career moves, and life transitions.Finding the right approach is part of therapy. Carissa works collaboratively to decide which methods fit a person's goals and preferences. She may mix short-term solution-focused exercises with CBT skill work and deeper psychodynamic reflection depending on what the person needs and how they respond.
Specific session formats are not listed in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when time is limited, and reduce travel time. Therapists and licensed professionals often use a mix of skill practice, goal setting, and reflective conversation in remote sessions to help people manage blended household stresses and other concerns.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of problems does she address?
She works with stress, anxiety, depression, trauma and abuse, relationship and family concerns, grief, addictions, eating and self-esteem issues, and related areas such as blended family issues and divorce.
How would she describe her therapy style?
Her style is direct and strengths-oriented. She blends cognitive behavioral and psychodynamic approaches and uses motivational interviewing and solution-focused techniques.
How much clinical experience does she have?
She has nine years of experience working in the field, including work with people affected by physical trauma or emotional abuse and with first responder and veteran issues.
What credential does she hold and where does she practice?
She is a LICSW and practices in Washington state.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English. She does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking, as specific formats are not listed in the biography.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin or schedule a first session?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling your first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.