- CBT methods
- DBT skills
- EMDR and EFT
About Carley
Carley James Bruner is a Washington state LMHC with 15 years of clinical experience. She works with people dealing with stress, anxiety, addictions, relationship strain, trauma and abuse, and depression. She also focuses on issues like abandonment, attachment struggles, body image, caregiver stress, codependency, forgiveness, and guilt and shame.
She approaches therapy as a collaborative process. She treats clients as the expert on their own story and looks for strengths to build on. Sessions are practical and focused on changing patterns that cause pain or get in the way of daily life.
Carley uses a blend of evidence-informed approaches in session. Cognitive Behavioral Therapy helps identify and change unhelpful thoughts and behaviors. Dialectical Behavior Therapy teaches skills for managing strong emotions and improving distress tolerance. Emotionally-Focused Therapy helps people clarify and express emotions that shape relationships, and Eye Movement Desensitization and Reprocessing is used when past memories continue to cause current distress.
Her style is direct and grounded. She helps clients set clear goals and practices skills in session that can be used between meetings. Conversations cover what went wrong, what keeps it happening, and what one step might look like next.
Carley works with people from many backgrounds and accepts international clients. Sessions are held with attention to each person’s needs and practical constraints. Prospective clients are asked to confirm session formats and scheduling details before booking.
How her approaches translate to online work
Carley draws on Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and EMDR in many cases. CBT focuses on spotting unhelpful thoughts and testing them with real-world experiments to reduce stress and anxiety. DBT emphasizes learning concrete skills for emotion regulation, distress tolerance, and better interpersonal communication. EMDR is used to process past memories that continue to cause intense distress, often by pairing focused recall with bilateral stimulation techniques.Figuring out which approach fits best is a collaborative process. The therapist and client review goals, symptoms, and preferences and then select strategies that match. That plan can change as trust and understanding grow during sessions.
The biography does not list specific session formats, so confirm options before booking. Online work can make it easier to fit sessions into a busy life - for example a shorter check-in during a lunch break, or avoiding travel time on a workday. Some approaches lend themselves to focused skill practice in a video session, while others can be adapted into phone or messaging formats if those are offered. Ask about the current session options when you schedule to make sure they fit your needs.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, addictions, relationship issues, trauma and abuse, and depression, plus related areas such as guilt and shame and attachment problems.
How does she approach guilt and shame?
She uses practical conversations to identify how guilt or shame shows up and which habits keep it active, then practices skills and reframes that reduce its daily impact.
What is her professional background?
She has 15 years of clinical experience working with the listed concerns and approaches therapy with a strengths-based, collaborative stance.
What credential does she hold and where is she located?
She is an LMHC licensed in Washington and provides services connected to that licensure location.
Does she work in other languages or internationally?
Sessions are offered in English and she accepts international clients.
Which session formats are offered?
The original biography did not specify session formats; please confirm current session options before booking.
How are sessions paid for?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.