About Carley
Carley Rothstein began her professional path as an Exceptional Children’s teacher in North Carolina. She later ran an academic tutoring and behavioral intervention business and provided Community Based Rehabilitative Services for the NC infant-toddler program. She holds a Master’s Degree in Social Work from the University of North Carolina Chapel Hill and lists LCSW as her credential.
Carley has spent eight years working across schools, clinics, and community settings. She has offered outpatient therapy focused on depression, anxiety, trauma, LGBTQIA+ concerns, ADHD, autism, and challenges tied to adoption or foster care.
Background and approach
She has also provided school-based psychotherapy and behavioral support for adults in medical or clinic settings, group homes, and assisted-living facilities. Her approach is client-centered. Sessions focus on clear goals and practical skills.
She uses tools from cognitive behavioral therapy, dialectical behavior therapy, and mindfulness to help people manage intense emotions and make changes that stick. Carley also draws on motivational interviewing and solution-focused techniques when helping someone decide on next steps or build momentum toward a goal.
Her background working with developmental and behavioral needs informs how she adapts strategies for different ages and abilities. Outside of work she is an animal lover and caregiver to a son with Fragile X Syndrome. She mentions family life with two dogs and two bunnies and trips to the mountains.
That lived experience shapes her perspective on caregiving and long-term support. People who prefer straightforward, collaborative therapy and concrete coping tools often find her style a good fit. She aims to help clients build balance, manage stress, and move forward from difficult moments.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on the person and their goals. It means sessions are guided by what the client wants to work on, with the therapist listening and tailoring support. This approach helps when someone needs a safe space to sort priorities and decide on next steps.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. Online CBT often uses short exercises, homework, and step-by-step plans to reduce anxiety, depression, and unhelpful thinking patterns. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation, distress tolerance, and better communication. These skills are useful for managing intense emotions and improving relationships.
Finding the right approach is a team effort. The therapist will talk with the client about goals, preferences, and what has or has not worked before. Together they will pick methods to try and adjust them based on what helps most.
Online therapy offers flexible ways to meet - video calls, phone sessions, live chat, or text-based messaging. Video calls let people use visual cues and longer sessions, phone sessions can be easier when bandwidth is limited, live chat is useful for shorter check-ins, and text messaging supports ongoing brief contact between sessions. These options make it easier to fit therapy into work, school, or caregiving routines while focusing on the same therapeutic skills used in face-to-face care.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Gender dysphoria
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- North Carolina
- Languages
- English