About Cara
Cara Kalakewich is a licensed marriage and family therapist (LMFT) practicing in Pennsylvania with 13 years of experience. She helps people who are dealing with relationship and family strain, addiction, trauma, anxiety, mood concerns, and issues around intimacy and identity. Her manner is warm and affirming, and she aims to make it easier to speak about painful topics without judgment.
Cara builds sessions around what matters in a person’s life.
How Cara works
She pays attention to family history, cultural and religious background, work stress, and core values to understand the whole picture. This helps uncover patterns that keep problems repeating and points to practical next steps. Her approach is collaborative.
Clients can expect a mix of listening, reflection, and concrete skills for managing strong emotions, communication, and behavior. She uses methods that include cognitive techniques to reframe unhelpful thoughts, emotion-focused work to repair bonds, and skills for managing distress in the moment.
Cara often supports people coping with grief, burnout or compassion fatigue, parenting strain, body image and eating concerns, and challenges related to adoption, attachment, or blended families. She also works with people facing substance use and other addictive behaviors and helps explore consent and identity within kink and BDSM contexts. Sessions are practical and paced to each person.
Cara emphasizes small, doable changes and helps clients try new ways of relating and coping. She frames therapy as a partnership aimed at clearer communication, steadier moods, and more satisfying relationships.
Cara lists 11 ways of working on the entry:
What Cara works with
The areas below are the ones Cara selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 13 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Pennsylvania |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Cara’s Approaches Translate Online
Client-Centered Therapy focuses on understanding a person’s perspective and offering support without judgment. It helps when someone needs a steady, accepting space to sort through feelings and make choices. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect and teaches practical skills to change unhelpful patterns. It is useful for anxiety, depression, and stress. Emotionally-Focused Therapy helps people understand and change how they respond in close relationships, which can improve connection and reduce hurt feelings.Finding the right approach is part of the work. Cara will collaborate with each person to decide which methods fit their goals, needs, and comfort level. That may mean trying a mix of listening, behavioral experiments, emotion work, and concrete communication practice until something clicks.
Online sessions include video calls, phone sessions, live chat, and text-based messaging. Video is good for visual cues and full conversations. Phone sessions can be shorter check-ins or easier when internet bandwidth is limited. Live chat and text work well for brief updates, homework, or step-by-step coaching between longer sessions. These options make it easier to fit therapy into a busy life and to keep momentum between appointments.
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Common questions
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Where is Cara licensed and based?
Which languages are supported and can she work with clients outside the US?
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How does pricing work for sessions?
How do I begin working with Cara?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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