- Relationship communication
- Addiction and recovery
- Attachment and intimacy
About Cara
Cara Kalakewich is a Licensed Marriage and Family Therapist (LMFT) in Pennsylvania with 13 years of clinical experience. She works with people facing relationship strain, addiction, trauma, anxiety, depression, and the stress of life changes. Cara also addresses concerns around intimacy, grief, body image, ADHD, and parenting.
Cara frames therapy as a collaborative process. She invites clients to talk about family, religion, work, and values so therapy reflects the whole of someones life. Sessions focus on clear, practical steps as well as unpacking feelings that keep people stuck.
Her style draws on person-centered listening combined with structured tools. That means she listens first, then introduces techniques to shift thoughts and behaviors when those shifts will help. She uses proven approaches to manage anxiety, addiction patterns, and depressive symptoms.
Cara works with relationship dynamics and communication problems directly. She applies methods that target attachment, emotional responses, and patterns that repeat across relationships. This includes work on commitment issues, codependency, and blended family stress.
She also supports people navigating identity and sexual concerns, including kink and alternative sex culture matters, and LGBT-related stressors. Practical topics such as sleep, eating, and career pressure are part of the work when they affect emotional well-being.
Sessions are aimed at helping people notice what keeps them stuck, try new behaviors, and build steadier patterns over time. Cara will help set clear goals and check progress as therapy continues.
How Cara uses therapy approaches online
Client-Centered Therapy focuses on listening, reflecting, and following what matters to the client. It helps people clarify their feelings and make decisions based on their own values. Cognitive Behavioral Therapy, or CBT, looks at how thoughts influence feelings and behavior and uses practical exercises to change unhelpful patterns. CBT is often used for anxiety, depression, and stress. Dialectical Behavior Therapy, DBT, teaches skills for managing strong emotions, improving distress tolerance, and handling relationship conflict.Finding the right approach is part of the work. Cara will talk with clients about goals and preferences, then suggest methods that might fit. She aims to combine active skills practice with open listening so clients can test what helps them in everyday life.
The biography does not list specific online formats here, so confirm session options before booking. Online work can make it easier to fit therapy around school, work, or caregiving. It can also allow for shorter check-ins when a quick conversation is helpful, or phone-friendly sessions when video isn't practical. Cara and other licensed professionals can adapt exercises for remote sessions so people can practice between meetings and track progress over time.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
13+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What kinds of problems does she work with?
Cara helps with relationship problems, family conflict, trauma and abuse, anxiety, depression, addiction, grief, and related concerns listed in her profile.
How would she describe her approach in sessions?
She uses a collaborative, person-centered style mixed with structured methods like CBT, DBT, EFT, and the Gottman Method to address feelings and behavior.
How much clinical experience does she have?
She has 13 years of professional experience working with adults on relationship, family, and trauma-related issues.
Where is she licensed and practicing?
She is a PA LMFT, licensed in Pennsylvania.
Can I see her if I live outside the United States?
She accepts international clients; sessions are offered in English.
What session formats does she offer?
Current session formats are not specified here. Please confirm the available formats before booking.
How much do sessions cost?
Costs vary with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.