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LCSW

Carleigh O'Brien, LCSW

  • Experience9 years
  • LocationMontana
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Carleigh

Carleigh O'Brien is a licensed clinical social worker (LCSW) with nine years of clinical experience supporting people through a wide range of life challenges. She trained at Walla Walla University and built a practice in Montana that addresses mood disorders, trauma and relational concerns using evidence-informed methods.

Background and approach

Carleigh blends cognitive behavioral tools and mindfulness practices to help clients notice unhelpful patterns, build practical coping strategies, and shift toward more values-driven action. Her work also emphasizes attachment and communication dynamics, making space to explore how past experiences shape current relationships and emotional responses.

She brings a client-centered stance, using Acceptance and Commitment Therapy and other approaches to tailor treatment to each person’s goals. Carleigh’s practice covers common struggles such as anxiety, depression, grief, stress, parenting challenges, career transitions, and ADHD, along with trauma-related issues like post-traumatic stress and sexual assault or abuse.

Therapeutic work with her tends to focus on collaboration, practical skills, and increasing awareness so clients can move forward with clearer priorities and improved coping. Sessions are offered from Montana and conducted in English, with a focus on shaping therapy to what matters most for the individual.

Therapeutic Methods and Online Access

Acceptance and Commitment Therapy (ACT) helps clients identify personal values and take steps toward them while learning to accept difficult thoughts and feelings rather than trying to eliminate them; this approach is often helpful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on recognizing and shifting unhelpful thinking and behavior patterns through practical exercises, which can be effective for depression, anxiety, and mood-related concerns. Attachment-Based Therapy explores how early relational patterns influence current relationships and emotional responses, offering pathways to improve communication and repair interpersonal difficulties.

Finding the right approach is part of the therapeutic process, and Carleigh works collaboratively to determine which methods best match a client's needs, goals, and preferences. She adapts techniques from these models to create a personalized plan and revisits the fit as progress unfolds so therapy stays aligned with what the client hopes to achieve.

Online therapy with her offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into busy schedules and access care from a Montana location. These options allow clients to choose the format that feels most comfortable while still benefiting from evidence-informed interventions and collaborative planning with a licensed professional.

Frequently asked questions

What concerns does Carleigh commonly address?
She works with a broad set of concerns including stress, anxiety, depression, grief, relationship and intimacy-related issues, parenting, bipolar disorder, ADHD, and trauma and abuse.
What is her therapeutic style like?
Her approach is collaborative and client-centered, combining cognitive behavioral strategies with mindfulness and acceptance-based techniques to build practical coping skills and clarify values.
How much clinical experience does she have?
Carleigh has nine years of experience providing mental health care and has developed expertise in mood disorders, attachment and relational concerns, and trauma-focused work.
Where is she licensed and based?
She is a licensed clinical social worker (LCSW) practicing from Montana, documented as MT LCSW BBH-LCSW-LIC-22989.
Does she offer services in other languages or to international clients?
Sessions are conducted in English and she is not currently accepting international clients.
What formats are available for sessions?
Carleigh offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How are fees and scheduling handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To get started, select the Start Therapy button, complete a brief matching questionnaire, and schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression

Also works with

LGBTGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesADHD

Additional focus areas

Attachment issuesCommunication problemsPostpartum depressionPost-traumatic stressSexual assault and abuseYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

9+ years

Licensed

Montana

Languages

English

About

Carleigh O'Brien is a Licensed Clinical Social Worker practicing in Montana, with 9 years of experience, not currently accepting new clients.