Profile / United States
Carissa Streich, LICSW
Washington
LICSW - Stress and Anxiety
See online therapy options- Cognitive Behavioral Therapy
- Trauma-informed care
- Motivational interviewing
About Carissa
Carissa Streich is a Licensed Independent Clinical Social Worker (LICSW) practicing in Washington with nine years of experience. She works with people facing stress, anxiety, depression, grief, trauma and abuse, relationship and family concerns, and career or life transitions. She also supports people dealing with addiction, eating issues, anger, self-harm concerns, and questions about sexuality.
Her approach emphasizes practical thinking and behavior changes alongside attention to life history. She uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try different responses. She also draws on client-centered methods to focus on each person's priorities and motivational interviewing to support change when readiness fluctuates.
Carissa blends short-term problem solving with deeper exploration of patterns that keep problems returning. Sessions often include setting clear goals, testing small behavioral experiments, and reviewing what worked between meetings. She also incorporates trauma-informed ideas when past hurt affects current mood or behavior.
People can expect direct, respectful conversation and a focus on skills they can try right away. Carissa adjusts pace and focus based on what someone needs and what feels doable in their life. She works in English and does not accept international clients.
Practical matters are handled up front. The cost varies by location and sessions use a subscription that can be canceled at any time. To begin, clients complete a short matching questionnaire and schedule a first session using the See online therapy options button.
How CBT and related approaches work online
Carissa uses Cognitive Behavioral Therapy to help people identify patterns of thinking and behavior that maintain distress. CBT focuses on small experiments and concrete skill practice to change how situations are handled and how mood responds. It is commonly used for anxiety, depression, stress, and coping with life changes.She also draws on client-centered therapy, which emphasizes listening to what matters most to the person and structuring sessions around their goals. Motivational interviewing is used when someone feels uncertain about change; it helps clarify values and increases motivation to try new behaviors.
Finding the right mix of approaches is part of the work. Carissa collaborates with each person to decide which methods to try, adjusts pace based on progress, and revisits goals as needed. This is a shared process rather than a fixed program.
Session logistics should be confirmed before booking because the biography does not specify formats. Ask which session formats are currently offered and how they fit your routine. Online work can make it easier to fit meetings around busy days, allow shorter check-ins when needed, and reduce travel time so people can practice skills between sessions.
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 concerns does she address most often?
She works with stress, anxiety, depression, grief, trauma and abuse, and related issues such as addiction, eating concerns, anger, and self-harm.
How does she use Cognitive Behavioral Therapy?
CBT is used to identify unhelpful thoughts and test new responses through small behavioral experiments and skill practice between sessions.
What is her clinical background?
She is a Licensed Independent Clinical Social Worker with nine years of experience in mental health settings and varied client concerns.
Where is she licensed to practice?
She holds a Washington LICSW and provides services based on that licensure in Washington.
Which languages are supported in 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 paid for?
Cost varies with 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.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.