CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

CO Portrait of Carleigh O'Brien

Carleigh O'Brien

Compassionate, skills-focused mental health support

LCSW Montana

Experience
9 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Carleigh

About Carleigh

Carleigh O'Brien is a licensed clinical social worker with nine years of professional experience supporting people through a range of mental health concerns.

Background and approach

She earned her degree from Walla Walla University in Missoula, Montana, in 2013 and has since oriented her practice around evidence-informed methods including Cognitive Behavioral Therapy (CBT), mindfulness-based practices, and approaches that address trauma and attachment. Her work emphasizes practical strategies and reflective exploration to help clients build coping skills and strengthen interpersonal functioning.

Carleigh often integrates mindfulness and client-centered techniques alongside cognitive behavioral strategies to tailor care to each person’s needs. She has experience addressing mood disorders, anxiety, grief, relationship and intimacy-related issues, parenting and communication challenges, workplace stress and career concerns, and complex trauma including sexual assault and postpartum difficulties.

Based in Montana, she offers sessions in English and provides multiple online formats to improve access for those seeking ongoing support.

Using CBT, ACT, and Attachment Ideas Online

Carleigh frequently draws on Cognitive Behavioral Therapy to help clients identify and adjust unhelpful thinking patterns and build practical coping strategies, useful for concerns like anxiety, depression, and mood regulation. She also uses Acceptance and Commitment Therapy to support people in clarifying values, increasing psychological flexibility, and learning to respond differently to difficult emotions. Attachment-Based Therapy is incorporated when relational patterns and early-care experiences are central, focusing on improving communication and emotional connection within relationships.

Determining the best mix of approaches is a collaborative process. The therapist works with each person to explore goals, preferences, and what feels most helpful, adjusting techniques as progress unfolds so that care stays aligned with the client’s needs.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to make consistent care easier to fit into daily life. These options provide flexibility for scheduling, allow ongoing work between in-person commitments, and support continued access to evidence-informed methods from licensed professionals regardless of geographic distance.

Frequently asked questions

What kinds of issues does this therapist address?
She works with a broad set of concerns including anxiety, depression, trauma and abuse, relationship and intimacy-related issues, grief, parenting challenges, ADHD, bipolar mood concerns, and career stress.
How would you describe the therapeutic approach and style?
Therapy blends cognitive behavioral techniques, mindfulness, acceptance-oriented work, and attachment-based perspectives to build practical skills and deepen self-understanding in a compassionate, client-centered manner.
What level of experience does the therapist have?
She has nine years of clinical experience working with a variety of mental health and relational concerns since completing her degree in 2013.
What are the therapist's credentials and location?
Carleigh O'Brien holds the LCSW credential with licence details MT LCSW BBH-LCSW-LIC-22989 and practices from Montana.
Does the therapist offer services in other languages or accept international clients?
Sessions are offered in English only, and international clients are not currently accepted.
Which session formats are available for online work?
She provides video calls, phone sessions, live chat, and text-based messaging to accommodate different schedules and preferences.
How is cost structured for sessions?
Cost varies with location and therapist availability; sessions are delivered through a subscription model that can be canceled at any time.
What do I need to do to begin working together?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression

Also works with

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 approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

9+ years

Licensed

Montana

Languages

English