Carissa Streich

Carissa Streich is a Licensed Independent Clinical Social Worker (LICSW) practicing in Washington. She focuses on helping people manage stress, anxiety, anger, depression, and life transitions. Her style is warm and direct, with an emphasis on respect and compassion for each person she meets.

With nine years of experience, Carissa has supported people facing trauma, emotional abuse, and a broad range of concerns such as relationship strain, career challenges, grief, and addictive behaviors. She also addresses issues related to sexuality, LGBT concerns, and first responder or veteran experiences.

Her work blends practical tools from cognitive behavioral approaches with longer-view reflections from psychodynamic ideas. She uses Client-Centered Therapy to shape conversations around the person's goals and strengths. Motivational Interviewing helps when change feels overwhelming or stalled.

Sessions aim to be paced to fit what each person needs. Carissa often describes options, invites feedback, and adjusts plans as progress unfolds. She draws on solution-focused techniques when people want concrete steps and on trauma-informed methods when past harm affects current choices.

People who come for help can expect direct feedback and collaborative planning. Carissa encourages building skills for stress management, improving self-esteem, and coping with major life changes. She focuses on practical next steps as well as understanding patterns that keep problems repeating.

Therapeutic approaches that translate to online work

Client-Centered Therapy focuses on putting the person's goals and strengths at the center of sessions. The therapist listens, reflects, and helps people name what they want to change or keep. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and teaches concrete skills to shift unhelpful patterns. It can help with anxiety, anger, and mood challenges. Motivational Interviewing is a collaborative way to explore mixed feelings about change and build motivation one step at a time.

Finding the right approach is part of the work together. The therapist will talk about options, try methods, and adjust based on how helpful they feel. Clients and the clinician decide collaboratively which tools and pace suit the person's needs and goals.

Confirm session formats before booking so you know what's offered. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins on days when a full session is hard to arrange. It also lets people use approaches like CBT worksheets, guided problem-solving, and motivational conversations in a way that fits their schedule.