Carley Rothstein , LCSW

Carley Rothstein is a Licensed Clinical Social Worker (LCSW) based in North Carolina. She moved from classroom teaching into behavioral support and developmental therapy before earning a Master of Social Work from the University of North Carolina Chapel Hill. Her background also includes a Graduate Certificate in Applied Behavior Analysis from Penn State World Campus.

Carley draws on eight years of clinical experience helping people with anxiety, depression, trauma, and ADHD. She has worked in outpatient therapy, school-based psychotherapy, integrated behavioral health in clinic settings, group homes, and assisted-living facilities. This range gives her practice practical, everyday tools for coping and change.

Her approach is client-centered and collaborative. Sessions focus on real problems people bring - sleep, eating, grief, parenting stress, relationship or communication struggles, and life transitions. She uses straightforward strategies from cognitive behavioral therapy, dialectical behavior therapy, mindfulness, and motivational interviewing to help people try new ways of thinking and acting.

Carley has experience supporting LGBTQ clients, adoption and foster care concerns, aging and geriatric issues, and neurodiversity including autism. She also helps people process trauma, dissociation, and complex grief. She aims to make therapy a calm space to practice skills and notice change.

Outside work she is an animal lover and advocates for the special needs community. Much of her free time is spent with her son and their pets, and traveling to family in the mountains.

Using proven approaches through online sessions

Carley often uses cognitive behavioral therapy and dialectical behavior therapy in her online work. Cognitive behavioral therapy helps people notice unhelpful thoughts and try different behaviors to reduce anxiety or depression. Dialectical behavior therapy focuses on emotion regulation, distress tolerance, and improving communication for people who feel overwhelmed by strong emotions.

Finding the best approach is a team effort. She will talk with the client about their goals, daily life, and preferences, then suggest approaches to try together. That plan can change as progress is made and new needs appear, so collaboration guides each step.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for full sessions with visual cues, phone sessions can work well when bandwidth is limited or for a shorter check-in, and chat or messaging offer flexible, written ways to share thoughts between meetings. These options make it easier to fit therapy into busy schedules and to keep practicing skills consistently.