PuttingFamilyFirst

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CR Portrait of Carley Rothstein
Online therapist

Carley Rothstein

Experienced family-focused therapist

Credentials
LCSW
Experience
8 years
Licensed in
North Carolina
Languages
English
Format
Online sessions

About Carley

Carley Rothstein is a Licensed Clinical Social Worker with eight years of experience supporting children, teens, young adults, and families. She began her career as an Exceptional Children’s teacher in North Carolina and later ran a tutoring and behavioral intervention business. Carley also worked as an educational and developmental therapist with the state infant-toddler program, collaborating with the Children’s Developmental Services Agency.

She earned a Graduate Certificate in Applied Behavior Analysis from Penn State World Campus.

Background and approach

She completed a Master’s Degree in Social Work at the University of North Carolina Chapel Hill. Her license is NC LCSW C013284. Carley has provided outpatient therapy for mood and anxiety concerns, trauma, LGBTQ issues, foster care and adoption questions, ADHD, and autism spectrum needs.

She has experience with self-harm and suicidality, as well as complex trauma in younger clients. She has also offered school-based psychotherapy and integrated behavioral health work with adults in clinic settings. Her work has extended to group homes and assisted-living facilities, helping people and their families adjust to aging and dementia-related changes.

She mentions supporting caregivers and guiding families through end-of-life transitions. Carley emphasizes a client-centered approach and practical support. Outside of work she is an animal lover and advocate for the special needs community.

She spends time with her son and their dogs and bunnies, and often travels to the mountains to visit family.

How therapeutic approaches translate to online family care

Client-Centered Therapy focuses on listening and meeting people where they are. The therapist follows the family’s priorities, reflects concerns back, and helps households set practical goals. Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior. It teaches practical skills for managing anxiety, sleep problems, mood, and parenting stress, often with short exercises to try between sessions.

Finding the right approach is a collaborative process. The therapist will discuss goals and preferences and suggest which methods to try first. Adjustments are made as progress becomes clear so work stays useful and relevant to the family’s needs.

Online therapy offers flexibility for busy households. Video calls let families meet face-to-face from home. Phone sessions, live chat, and text-based messaging provide options when schedules or attention needs make longer sessions hard. These formats make it easier to fit therapy into school runs, caregiving duties, or variable schedules while still working on skills and communication.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What concerns does she address related to families?
She helps with parenting challenges, family communication, relationship stress, and issues like adoption and foster care. Her practice also covers grief, anger, and coping with life changes.
How would you describe her therapy style?
Her style is client-centered and practical. She mixes talk, problem-solving, and skill practice from approaches like CBT and DBT depending on need.
What relevant background does she bring to family work?
She started as an Exceptional Children’s teacher and worked as a behavioral interventionist and educational/developmental therapist. That school and community experience informs her family-focused work.
Where is she licensed and practicing?
She is a Licensed Clinical Social Worker in North Carolina, listed as NC LCSW C013284.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available for online work?
Sessions can take place via video calls, phone sessions, live chat, or text-based messaging depending on client preference.
How is cost handled for therapy?
Cost varies with location and therapist availability and is managed through a subscription that can be canceled at any time.
What are the first steps to begin working together?
Choose the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's availability.

Next step

Talk to Carley

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