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Carleigh O'Brien, LCSW

Montana LCSW specializing in trauma and relationships
  • Trauma and abuse
  • Anxiety and depression
  • Relationships and family

About Carleigh O'Brien

Carleigh O'Brien is a Licensed Clinical Social Worker (LCSW) based in Montana who brings nine years of clinical experience to her practice. She earned her degree from Walla Walla University in Missoula, Montana in 2013, and since then has focused on evidence-informed approaches to help people manage a wide range of concerns. Her work commonly addresses stress, anxiety, depression, grief, trauma and abuse, relationship and family issues, intimacy and sexual concerns, parenting and postpartum challenges, and life transitions such as career shifts or coping with bipolar disorder and ADHD.

Carleigh draws from several therapeutic models to tailor treatment to each person's needs, including Acceptance and Commitment Therapy - ACT, Cognitive Behavioral Therapy - CBT, mindfulness-based techniques, solution-focused and narrative methods, attachment-based and Internal Family Systems approaches, motivational interviewing, and trauma-focused therapies. She often integrates these frameworks to strengthen emotional regulation, improve communication and attachment, and support recovery from post-traumatic stress and sexual assault or abuse.

Her practice emphasizes practical skills alongside deeper relational work, assisting young adults and parents, addressing attachment and communication problems, and supporting clients through intimacy-related and identity concerns. As an LCSW - a Licensed Clinical Social Worker - she combines clinical assessment with collaborative planning to help clients set achievable goals and move toward greater well-being.

Areas of Expertise

Primary Focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression

Also Specializes In

LGBTGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesADHD

Additional Focus Areas

Attachment issuesCommunication problemsPostpartum depressionPost-traumatic stressSexual assault and abuseYoung adult issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Carleigh O'Brien have?

Carleigh O'Brien has 9 years of experience as a therapist.

Is Carleigh O'Brien a licensed therapist?

Yes. She holds the credential LCSW, which stands for Licensed Clinical Social Worker. Her license details are MT LCSW BBH-LCSW-LIC-22989.

In which languages does Carleigh O'Brien provide therapy?

Carleigh provides therapy in English.

Where is Carleigh O'Brien located?

Carleigh is located in Montana.

How can I work with Carleigh O'Brien as my therapist?

Clients can work with Carleigh through video calls, phone sessions, live chat, or text-based messaging.

Does Carleigh O'Brien work with international clients?

No. Carleigh O'Brien does not currently work with international clients.

How much does therapy with Carleigh O'Brien cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Could Remote Therapy Work For You?

Many people ask whether meeting with a therapist online can really help. For a range of common concerns - including stress, anxiety, depression, relationship challenges, and navigating life changes - online therapy can be as effective as traditional in-person sessions for most people.

A major benefit is the flexibility to choose how to connect. Individuals can meet with a therapist via video calls, phone sessions, live chat, or in-app messaging, which can make it easier to fit consistent care into a busy schedule or to access support from home.

Licensed professionals provide online therapy, and clients can switch therapists at any time if they are seeking a different fit. For many, this mode of care offers a practical and effective way to work on goals, build coping skills, and address relational or emotional concerns with the guidance of a trained therapist.

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