About Carley
Carley Rothstein is a Licensed Clinical Social Worker with eight years of clinical experience in North Carolina. She began her career as an Exceptional Children’s teacher and later ran an academic tutoring and behavioral intervention business. That early work led to roles providing developmental and educational therapy through the state infant-toddler program and collaboration with Children’s Developmental Services agencies.
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 and school-based psychotherapy across a range of concerns. Her background includes work with depression, anxiety, ADHD, autism spectrum needs, foster care and adoption-related concerns, and complex trauma. Carley has also worked in integrated behavioral health settings with adults in clinics, group homes, and assisted-living facilities.
That work involved helping people process changes tied to aging and dementia-related behaviors, and supporting family members during end-of-life transitions. She brings experience with grief, caregiving stress, and co-occurring mental health challenges. Her approach is client-centered and practical.
Sessions focus on clear goals, skill-building, and problem-solving that fit each person’s life. Carley uses tools drawn from cognitive behavioral strategies, dialectical behavior ideas, mindfulness, and motivational interviewing to help people manage stress and anxiety. Outside of work she advocates for the special needs community and spends time with her son and their pets.
She aims to help people move toward greater balance and daily functioning in ways that feel doable for them.
How Carley’s Approaches Translate to Online Care
Carley uses cognitive behavioral techniques to help people identify unhelpful thoughts and test new behaviors, which can reduce symptoms like worry and low mood. She also draws on dialectical behavior ideas to teach emotion regulation, distress tolerance, and communication skills for high-stress moments.Finding the right way of working is part of the process. She collaborates with each person to choose techniques that match their goals and daily life. That means trying different tools in session and adjusting plans based on what feels useful and doable.
Online therapy offers flexible ways to connect. Video calls work well for deeper conversations and skill practice where seeing facial expressions helps. Phone sessions can be a good choice when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging allow brief updates, homework check-ins, and ongoing support between longer sessions. These options make it easier to fit therapy into a busy schedule while still using the same clinical approaches.
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What this therapist works with
Most often
Also listed
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Gender dysphoria
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- North Carolina
- Languages
- English
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