- CBT techniques
- Client-centered work
- Trauma-informed care
About Carissa
Carissa Streich is a Licensed Independent Clinical Social Worker (LICSW) in Washington with nine years of practice. She works with adults facing stress, anxiety, depression, relationship problems, grief, trauma and a range of life changes, including issues common in young adulthood.
Carissa uses clear, direct conversation to help people sort what matters most right now. She draws on client-centered methods and cognitive-behavioral ideas to identify unhelpful thinking and try small, practical changes. Sessions are straightforward and focused on real-life problems like work stress, relationship strain, school and career decisions, and managing mood shifts.
Her background includes supporting people who have experienced emotional or physical abuse and those coping with complicated family situations. She also has experience addressing addictions, self-harm, eating concerns, and issues related to sexuality and LGBT identity.
Carissa blends psychodynamic perspectives with solution-focused steps when helpful. That means she may look at patterns from the past while also setting short-term goals and experiments for daily life. She uses motivational interviewing when people are weighing change or feeling stuck.
Her work is practical and paced to the individual. People can expect conversations that clarify problems, set achievable goals, and track small shifts over time. Carissa practices in Washington and conducts sessions in English.
How Carissa’s approaches translate to online sessions
Carissa commonly uses client-centered work and cognitive-behavioral therapy in sessions. Client-centered work emphasizes listening and helping people set their own priorities; it helps when someone needs to clarify values or sort feelings. Cognitive-behavioral therapy examines patterns of thinking and behavior and suggests concrete experiments to reduce anxiety, manage mood, or change unhelpful habits.She also draws on motivational interviewing to support people who feel stuck or are weighing change. That approach focuses on the person’s own goals and motivation and can be useful for issues like substance use, career moves, or lifestyle shifts. Across these methods she balances looking at past patterns with setting short-term steps you can try between sessions.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful, then adjust methods and pace collaboratively. Expect planning that combines short-term solutions with attention to longer-standing patterns when helpful.
The biography does not list specific session formats, so confirm current online options before booking. When online sessions are available, practical benefits include fitting appointments around school or work, having shorter check-ins when needed, and trying exercises or homework that link directly to daily routines.
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 concerns does she address?
Carissa works with stress, anxiety, depression, trauma, relationship and family problems, grief, addictions, and young adult concerns like career and life transitions.
What is her therapeutic style like?
She uses a direct, client-centered style that mixes cognitive-behavioral techniques with psychodynamic ideas and solution-focused steps.
How much experience does she have?
Carissa has nine years of experience working as a clinical social worker in multiple settings.
What are her credentials and where is she based?
She is a LICSW licensed in Washington and practices in that state.
Can someone who speaks another language book sessions?
Sessions are offered in English.
Does she work with clients outside the United States?
She does not accept international clients at this time.
How are sessions scheduled and what does it cost?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select 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.