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CR Portrait of Carley Rothstein

Carley Rothstein

Compassionate, practical support for life transitions

LCSW North Carolina

Experience
8 years in practice
Focus areas
Stress, Anxiety, LGBT, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Carley

Carley Rothstein is a Licensed Clinical Social Worker (LCSW) with eight years of experience who transitioned into clinical practice after working as an Exceptional Children’s teacher, an academic tutor and behavioral interventionist, and an educational/developmental therapist for North Carolina’s infant-toddler program.

Background and approach

She holds a Master’s Degree in Social Work from the University of North Carolina Chapel Hill and a Graduate Certificate in Applied Behavior Analysis from Penn State World Campus. Her early work in schools and community programs informs a pragmatic, skills-focused approach to therapy.

Rothstein integrates client-centered care with evidence-informed tools to support people facing stress, anxiety, depression, trauma and abuse, ADHD, relationship and family concerns, grief, eating or sleeping difficulties, and life transitions. She has provided outpatient therapy across the lifespan, school-based psychotherapy, and behavioral health services in medical, group home, and assisted-living settings.

Her background includes work with foster care and adoption issues, autism spectrum presentations, complex trauma, and care needs related to aging and dementia. Outside of practice she is active in advocacy for the special needs community and spends time with family and pets.

She frames therapy as a collaborative process, helping clients build practical strategies and greater balance in daily life.

CBT and Collaborative Approaches for Online Care

Carley Rothstein uses Cognitive Behavioral Therapy to help clients identify unhelpful thinking patterns and develop concrete strategies for changing behaviors and emotional responses; this approach is often applied to anxiety, depression, and stress-related challenges. She also employs a client-centered stance that emphasizes empathy, collaboration, and tailoring sessions to each person’s goals and values so that the work aligns with what matters most to the client. When appropriate, Rothstein draws on Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and interpersonal effectiveness techniques for intense emotional states and relationship challenges.

Choosing an approach is a collaborative process. She will work with clients to assess needs, try different tools, and adjust methods over time so the combination of strategies fits the person’s goals and preferences. This flexibility helps ensure therapy stays relevant and practical for everyday life.

Online therapy offers practical flexibility through multiple formats: video calls for face-to-face sessions, phone sessions for audio-only meetings, and live chat or text-based messaging for brief check-ins or when written communication feels easier. These options support consistent access to care across schedules and locations while allowing clients to use the formats that best suit their routines and therapeutic needs.

Frequently asked questions

What kinds of concerns does she address?
She works with a broad range of concerns including stress, anxiety, depression, trauma and abuse, ADHD, relationship and family issues, grief, eating and sleeping difficulties, self esteem, and coping with life changes.
What is her therapeutic style like?
Her approach blends client-centered work with practical, skills-based methods such as Cognitive Behavioral Therapy and DBT-informed strategies to help clients develop coping tools and moment-to-moment skills.
How much clinical experience does she bring?
She has eight years of professional experience that spans school settings, outpatient therapy, integrated behavioral health in medical clinics, group homes, and assisted-living facilities.
What are her credentials and where is she licensed?
She is a Licensed Clinical Social Worker with the North Carolina license NC LCSW C013284 and practices in North Carolina.
Does she offer sessions in other languages or to international clients?
Sessions are provided in English, and she is not currently accepting international clients.
What session formats are available?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.
How are fees and payment structured?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Also works with

Relationship issuesFamily conflictsGriefEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changes

Additional focus areas

Adoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBDSM, kink, and alternative sex cultureBody imageCaregiver issues and stressCo-morbidityCommitment issuesCommunication problemsControl issuesDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily problemsGender dysphoriaGuilt and shameImmigration issuesImpulsivityIntellectual disabilityIsolation / lonelinessLife purposeMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

8+ years

Licensed

North Carolina

Languages

English