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Carley Rothstein, LCSW

Client-centered support across life’s transitions

  • Trauma informed care
  • Neurodiversity affirming support
  • Family and parenting guidance

About Carley Rothstein

Carley Rothstein, LCSW, brings a wide-ranging background in education and behavioral support to her therapy work in North Carolina. Her professional path began as an Exceptional Children’s teacher in a North Carolina school district, followed by running her own business as an academic tutor and behavioral interventionist. She later provided Community Based Rehabilitative Services through the North Carolina infant-toddler program as an educational and developmental therapist, partnering closely with the Children’s Developmental Services Agency.

She earned a Graduate Certificate in Applied Behavior Analysis from Penn State World Campus and completed her Master’s Degree in Social Work at the University of North Carolina Chapel Hill. As a Licensed Clinical Social Worker (LCSW), a credential for social workers who have met advanced training and licensing requirements for clinical practice, Carley has provided outpatient therapy for children and families navigating complex concerns. Her experience includes supporting clients facing depression and anxiety, bullying, LGBTQIA+ related stressors, foster care and adoption, ADHD, Autism Spectrum Disorder, and concerns related to self-harm and suicidality, as well as helping children, teens, and young adults impacted by complex trauma.

Carley has also delivered school-based psychotherapy and integrated behavioral health services for adults in medical and clinic settings, group homes, and assisted-living facilities. In these roles, she has helped people process life transitions connected to aging, dementia-related symptoms and behaviors, and the emotional realities families may face as a loved one approaches end-of-life.

Outside of work, she is an animal lover and an advocate for the special needs community. She spends much of her time with her son and supporting his unique needs related to his Fragile X Syndrome diagnosis, while also enjoying time with her family’s two dogs, two bunnies, and trips to visit relatives in the mountains. Carley values a client-centered approach and aims to support each person in moving toward a calmer, more balanced life.

Areas of Expertise

Also Specializes In

Relationship issuesFamily conflictsGriefEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changes

Additional Focus Areas

Adoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBDSM, kink, and alternative sex cultureBody imageCaregiver issues and stressCo-morbidityCommitment issuesCommunication problemsControl issuesDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily problemsGender dysphoriaGuilt and shameImmigration issuesImpulsivityIntellectual disabilityIsolation / lonelinessLife purposeMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Carley Rothstein have?

Carley Rothstein has 8 years of experience providing therapy and behavioral health support.

Is Carley Rothstein a licensed therapist?

Yes. Carley Rothstein is a Licensed Clinical Social Worker (LCSW) in North Carolina. License number: NC LCSW C013284.

In which languages does Carley Rothstein provide therapy?

Carley Rothstein provides therapy in English.

Where is Carley Rothstein located?

Carley Rothstein is located in North Carolina.

How can I work with Carley Rothstein as my therapist?

You can work with Carley Rothstein through video calls, phone sessions, live chat, or text-based messaging.

Does Carley Rothstein work with international clients?

No. Carley Rothstein does not currently work with international clients.

How much does therapy with Carley Rothstein 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, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy 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.

Therapy Approaches That Translate Well Online

Carley Rothstein, LCSW, draws from evidence-informed approaches that can work effectively in an online setting. In Client-Centered Therapy, the focus is on creating a supportive space where clients can explore what matters most to them at their own pace. This approach can be especially helpful when stress, identity concerns, relationship challenges, or major life transitions feel overwhelming.

Cognitive Behavioral Therapy (CBT) is a structured, skills-based approach that looks at how thoughts, feelings, and behaviors interact. It can help clients notice unhelpful patterns and practice new coping strategies for concerns like anxiety, depression, and everyday stress. Dialectical Behavior Therapy (DBT) adds practical tools for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be useful for clients who feel emotionally stuck, reactive, or drained by conflict.

Finding the right fit is part of the process. Carley collaborates with clients to clarify goals, understand preferences, and choose strategies that feel realistic and sustainable, adjusting the pace and focus as needs evolve over time.

Online therapy also offers flexibility: sessions can take place through video calls, phone sessions, live chat, or text-based messaging. This range of options can make it easier to stay connected to care alongside school, work, family responsibilities, or changing schedules.

Ready to start therapy with Carley Rothstein?

Take the first step toward a better you.