Carleigh O'Brien , LCSW

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.

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.