Carleigh O'Brien

Carleigh O'Brien is a licensed clinical social worker with nine years of experience helping people manage stress, anxiety, depression, and major life changes. She is based in Montana and uses practical, evidence-informed approaches to help people feel steadier day to day.

Carleigh draws on Mindfulness Therapy to help people notice what’s happening in the moment without getting overwhelmed. She also uses Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) tools to shift unhelpful thoughts and clarify personal values. Sessions focus on small, usable steps rather than abstract theory.

Her practice addresses relationship and attachment concerns, parenting strain, grief, trauma and abuse, postpartum depression, and issues that affect young adults. She also supports people facing career stress, intimacy challenges, anger, and ADHD-related difficulties. The work often involves building clearer communication and more helpful day-to-day routines.

Carleigh describes work with trauma-related concerns and sexual assault and abuse using approaches that emphasize safety and pacing. She combines client-centered listening with structured skill practice so people can try new coping strategies between meetings. This approach aims to make progress feel concrete and manageable.

People who reach out usually want down-to-earth tools and a therapist who listens without judgment. To begin, use the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.

How these approaches translate to online work

Mindfulness Therapy helps people build awareness of thoughts, feelings, and bodily sensations in short, practical exercises. It can be useful for managing anxiety, stress, and emotional reactivity by teaching simple attention practices. Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed actions that match those values while learning to live with difficult thoughts. It often helps with life transitions, low motivation, and chronic worry. Attachment-Based Therapy looks at patterns in close relationships and helps people develop more secure ways of communicating and connecting, which can ease relationship strain and improve emotional regulation.

Finding the right mix of approaches is part of the process. The therapist will work collaboratively to identify methods that fit the client's goals, preferences, and daily life. That may mean combining mindful practices with CBT-style skill work or focusing on attachment patterns first; the choice is guided by what matters most to the client.

The practical benefits of online therapy often include fitting sessions more easily into a busy schedule, removing commute time, and allowing for shorter check-ins when needed. Because specific session formats are not listed in the biography, confirm current options before booking. Many people find online appointments let them test techniques at home and bring examples from everyday life into sessions, making skill practice feel more relevant and immediately useful.