About Leslie
Leslie Cullen is a Licensed Mental Health Counselor with three decades of clinical experience. She focuses on helping people handle stress, anxiety, grief, relationship concerns, mood shifts, and challenges related to identity and intimacy. Her style is practical and down-to-earth, aiming for small changes that make daily life easier.
Leslie centers sessions on what is happening now and on steps people can try between meetings. She blends talk-based reflection with concrete skills practice so clients can notice what works.
How Leslie works
Cognitive behavioral ideas are used to spot unhelpful thoughts and habits and replace them with clearer choices. Attachment-based ideas and client-centered listening shape how she builds trust and explores relationship patterns. Leslie also draws on dialectical behavior therapy skills for emotional regulation and grounding tools for people who feel overwhelmed.
Her approach includes attention to how identity, culture, and social needs influence wellbeing. Over thirty years Leslie has supported people facing trauma, substance challenges, ADHD, bipolar symptoms, sleep problems, and compassion fatigue. She also works with issues related to aging, caregiving stress, autism and Asperger syndrome, and end-of-life concerns.
Sessions aim to increase self-understanding while teaching usable coping strategies. Leslie offers sessions in English and practices in Washington. She emphasizes collaboration - clients set goals and she helps map practical steps toward them.
Leslie lists 10 ways of working on the entry:
What Leslie works with
The areas below are the ones Leslie selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Caregiver issues and stress
- Co-morbidity
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 30 |
| 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
Online approaches that focus on skills and connection
Leslie often uses cognitive behavioral therapy to help people identify unhelpful thinking patterns and change everyday behaviors that feed stress or low mood. CBT works well for anxiety, depression, sleep problems, and impulsive behaviors by breaking down problems into manageable steps.She also uses client-centered therapy, which centers on listening and reflecting so people can clarify their goals and sense of self. This approach supports work on identity, self-esteem, and relationship patterns. Attachment-based ideas are used to map how early and current relationships shape reactions and emotional needs, which can help with intimacy and communication challenges.
Finding the right approach is part of the work together. The therapist will discuss options, try techniques, and adjust based on how they fit the client's needs, goals, and preferences. Decisions are collaborative and practical rather than fixed from the start.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video is useful for longer sessions and face-to-face conversation, phone can be a lower-bandwidth option, and chat or messaging suits short check-ins or ongoing support between meetings. These formats make therapy more flexible for busy schedules, caregiving responsibilities, and different comfort levels with being on camera.
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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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