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Shirley Cayko, LCSW

Compassionate, tailored therapy for life’s challenges
  • Respectful supportive approach
  • Trauma and anxiety support
  • Life change coping skills

About Shirley Cayko

Shirley Cayko, LCSW, is a Montana-licensed clinical social worker with 18 years of professional experience supporting people through a wide range of concerns, including stress and anxiety, trauma and abuse, and challenges related to motivation, self-esteem, and confidence.

She also helps clients navigate major life transitions and the emotional strain that can come with change. Shirley approaches therapy with respect, sensitivity, and compassion, creating a space where clients can feel understood while working toward meaningful, practical goals.

Shirley tailors the conversation and treatment plan to fit each person’s unique needs, preferences, and pace. She recognizes that starting therapy can take courage, and she aims to make the first steps feel manageable and supportive as clients begin building skills and insight for the life they want to live.

Areas of Expertise

Also Specializes In

LGBTRelationship issuesGriefAnger managementBipolar disorderDepression

Additional Focus Areas

Aging and geriatric issuesAvoidant personalityCancerCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsDissociationDivorce and separationEmptinessFamily problemsGender dysphoriaGuilt and shameHospice and end-of-life counselingImmigration issuesInfidelityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsPanic disorder and panic attacksParanoiaPostpartum depressionPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmWorkplace issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Existential Therapy Mindfulness Therapy Trauma-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Shirley Cayko have?

Shirley Cayko has 18 years of professional experience providing therapy and support.

Is Shirley Cayko a licensed therapist?

Yes. Shirley Cayko is a Licensed Clinical Social Worker (LCSW) in Montana. Her license information is MT LCSW BBH-LCSW-LIC-803.

In which languages does Shirley Cayko provide therapy?

Shirley Cayko provides therapy in English.

Where is Shirley Cayko located?

Shirley Cayko is located in Montana.

How can I work with Shirley Cayko as my therapist?

You can work with Shirley Cayko through video calls, phone sessions, live chat, or text-based messaging, depending on what fits your needs and scheduling.

Does Shirley Cayko work with international clients?

No. Shirley Cayko does not currently work with international clients.

How much does therapy with Shirley Cayko cost?

The cost of therapy can vary based on factors like 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, click the “Start Therapy” button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire to help 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.

Therapeutic Approaches That Translate Well to Online Care

Shirley Cayko, LCSW, draws from evidence-informed approaches that can be practical and supportive in an online setting. Client-Centered Therapy focuses on creating a respectful, compassionate space where clients can explore what they are feeling and what matters most, helping strengthen self-understanding and confidence over time.

Cognitive Behavioral Therapy (CBT) emphasizes the connection between thoughts, emotions, and actions. It can be especially helpful for stress and anxiety by identifying unhelpful thinking patterns and practicing more balanced, workable responses in everyday situations. Dialectical Behavior Therapy (DBT) adds skill-building for emotional regulation, distress tolerance, and relationship effectiveness, which can be useful when life feels overwhelming or when coping skills need a reset.

Finding the right approach is part of the process. Shirley collaborates with clients to clarify goals, understand preferences, and adjust the pace and focus as needs change, so therapy feels personalized rather than one-size-fits-all.

Online therapy also offers flexibility: sessions can happen through video calls, phone sessions, live chat, or text-based messaging. These options can make it easier to stay consistent, fit support into a busy schedule, and access care from wherever is most comfortable.

Ready to start therapy with Shirley Cayko?

Take the first step toward a better you.