Carissa Streich , LICSW

Carissa Streich is a Licensed Independent Clinical Social Worker (LICSW) in Washington with nine years of clinical experience. She has supported clients across the age spectrum with concerns including depression, stress, anxiety, bullying, relationship challenges, life transitions, and career issues, and she has worked with many people who have experienced physical trauma or emotional abuse.

Her counseling style is direct yet warm, grounded in a strengths-based perspective that emphasizes respect, sensitivity, and compassion. She integrates principles from cognitive-behavioral and psychodynamic approaches within a trauma-informed framework, tailoring the pace, tone, and treatment plan to each person’s unique needs and goals. Carissa focuses on practical coping strategies while also attending to underlying patterns that affect wellbeing.

Recognizing that reaching out for help takes courage, she seeks to empower clients as they navigate change and healing. Her aim is to build a collaborative relationship where clients feel heard, supported, and guided toward meaningful progress.

Therapeutic Approaches for Online Therapy

Client-centered therapy focuses on creating a respectful, nonjudgmental space where the client's perspective guides the work; it helps people who want a collaborative relationship and an approach that builds on their strengths. Cognitive Behavioral Therapy (CBT) is a structured, skills-based method that examines how thoughts, feelings, and behaviors interact and offers practical tools for managing anxiety, depression, and stress. Psychodynamic therapy explores patterns, relationships, and past experiences that shape present difficulties, which can be useful for resolving deeper emotional concerns and understanding recurring issues.

Choosing the right approach is often part of the therapeutic journey. Carissa partners with clients to identify which methods fit their needs, goals, and preferences and adjusts the plan over time so therapy remains responsive and effective.

Online therapy offers flexibility for people balancing work, family, or mobility constraints. Through video calls, phone sessions, live chat, or text-based messaging, therapists can provide consistent support across different formats, making it easier to access care from home or between commitments.