About Carissa
Carissa Streich is a licensed independent clinical social worker (LICSW) based in Washington. She brings nine years of clinical experience and a direct but warm style to therapy. Carissa aims to treat people with respect, sensitivity, and compassion while helping them move forward.
Her work often focuses on stress and anxiety, depression, grief, trauma and abuse, and addiction. She also supports people facing relationship or family concerns, career strain, eating issues, bipolar mood concerns, and identity or sexuality questions.
How Carissa works
Additional areas of focus include blended family issues, divorce and separation, first responder and veteran challenges, and forgiveness work. Carissa blends client-centered listening with cognitive behavioral ideas and psychodynamic insights. She uses motivational interviewing to build readiness for change and solution-focused methods to set short-term goals.
Her approach is trauma-informed and tailored to each person’s needs and pace. Sessions are practical and goal-oriented while remaining compassionate. Expect a conversational style that can be direct when helpful and gentle when needed.
Carissa works with people to set concrete steps and test small changes between sessions. She emphasizes collaboration and clear planning. People who want a therapist who listens, offers structure, and helps make manageable changes may find this approach useful.
Carissa encourages reaching out when someone is ready to take that first step.
Carissa lists 6 ways of working on the entry:
What Carissa works with
The areas below are the ones Carissa selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Addictions
- Anger management
- Bipolar disorder
- Blended family issues
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Eating disorders
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Grief
- Polyamory / non-monogamous relationships
- Relationship issues
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexuality
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Training and background
| Register | LICSW |
|---|---|
| Years in practice | 9 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approach-driven therapy that fits your schedule
Carissa commonly draws from client-centered therapy and cognitive behavioral therapy to guide online work. Client-centered therapy focuses on listening closely and building a respectful, nonjudgmental relationship so people can explore feelings and values. Cognitive behavioral therapy looks at unhelpful thinking and behavior patterns and teaches practical skills to change them, which can help with anxiety, depression, and stress.She also uses motivational interviewing when people feel unsure about change; this approach helps clarify personal reasons for change and builds readiness. Deciding which methods to use is collaborative. The therapist will talk with each person about goals, try approaches, and adjust the plan based on what works and what feels right.
Online therapy offers flexibility to fit sessions into a busy life. Video calls let people keep face-to-face conversation without travel, phone sessions require less bandwidth, live chat is useful for shorter check-ins, and text-based messaging can support paced reflection between sessions. These options make it easier to keep continuity of care while trying different approaches and scheduling around work, school, or family commitments.
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Common questions
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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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