Carley Rothstein

Carley Rothstein is a Licensed Clinical Social Worker (LCSW) based in North Carolina. She began her professional path as an Exceptional Children’s teacher and later ran an academic tutoring and behavioral intervention business. Her early work included providing Community Based Rehabilitative Services for the state infant-toddler program alongside the Children’s Developmental Services Agency. She holds a Graduate Certificate in Applied Behavior Analysis from Penn State World Campus and a Master’s Degree in Social Work from the University of North Carolina Chapel Hill. Since earning her LCSW, she has offered outpatient therapy focused on complex needs such as depression, anxiety, self-harm, and trauma for children, teens, and young adults. Her practice includes work with people affected by foster care and adoption, LGBTQ issues, ADHD, and Autism Spectrum Disorder. She has also provided school-based psychotherapy and behavioral health services in medical clinics, group homes, and assisted-living settings to support aging-related changes and dementia-related behaviors. Carley emphasizes a client-centered way of working that seeks to understand each person’s daily life and goals. Sessions aim to be practical and focused, helping people build skills to manage stress, relationships, sleep, eating, and anger. She also supports caregivers navigating caregiving strain and life transitions. Outside of work she advocates for the special needs community and spends time with her son, who has Fragile X syndrome, and their pets. Her background across classrooms, clinics, and community programs shapes an approach that blends life experience with clinical practice.

How her approaches translate to online work

Carley uses client-centered care, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) concepts in her work. Client-centered care means she listens first and shapes the plan around each person's goals and everyday needs. CBT focuses on identifying unhelpful thoughts and testing small behavior changes to reduce anxiety, depression, and sleep or eating problems. DBT concepts help people build skills for emotion regulation, distress tolerance, and improving communication in relationships.

Finding the right approach is a collaborative process. She will talk with clients about their goals, preferences, and what feels manageable, then try methods that fit those priorities. The plan can change over time based on what helps most.

Many people find online therapy useful for fitting care into busy lives, such as making time during a work break or avoiding travel to an office. Because the original biography does not list specific session formats, confirm the current session options before booking. Online work can make it easier to maintain consistency and practice skills between sessions without promising any specific format in advance.