Carissa Streich

Carissa Streich is a licensed independent clinical social worker (LICSW) based in Washington. She uses a direct but warm style to help people who are dealing with stress, anxiety, depression, and major life changes. Carissa emphasizes respect and compassion in sessions and aims to make each person feel heard and understood.

She brings nine years of clinical experience to her work and has supported people facing trauma, emotional abuse, and workplace or relationship strain. Carissa also addresses concerns like grief, addictions, self-esteem, bipolar mood concerns, and eating issues. Her background includes work with first responder and veteran issues and other focused areas such as blended family challenges and divorce and separation.

Carissa blends client-centered principles with cognitive behavioral techniques and psychodynamic ideas to shape treatment. She often uses motivational interviewing and solution-focused strategies to help people set practical goals and move forward. Sessions are paced to match what each person needs at the time.

In practice she lays out options clearly and works collaboratively on concrete steps, whether that means trying new coping skills, adjusting unhelpful patterns, or weighing choices during a life transition. The aim is steady progress rather than quick fixes.

If someone decides to begin, Carissa helps them clarify priorities and builds a plan that fits their circumstances. She encourages people to take the first step toward change and offers steady support along the way.

How therapeutic approaches shape online care

Carissa draws on client-centered therapy to create a respectful, listening-first environment where a person’s priorities guide each session. This approach helps when someone needs to feel understood before tackling practical steps or hard decisions.

She also uses cognitive behavioral therapy, which looks at how thoughts and behaviors affect mood and habits. CBT is active and skills-based, so it can help with anxiety, depression, or managing strong emotions by trying new coping strategies between sessions.

Finding the right approach is part of the work. Carissa plans treatment collaboratively and adjusts methods based on a person’s goals, needs, and pace. Clients and therapist decide together whether to focus on insight, skills practice, or short-term problem solving.

Confirm which session formats are offered before booking, since the biography does not list specific options. Online sessions can make it easier to fit therapy into busy schedules, allow shorter check-ins when needed, and remove travel time. Licensed professionals can use different methods to keep sessions practical and focused on daily life goals.