Last edited 01/26/2026
Identifies As
She / Her / HersCisgenderWhiteHeterosexualChristianityMillennial, Immigrant / 1st Generation American
Get To Know Me
Were there lessons in your professional or academic career that left an impression on you, and how has that informed your work today?
One of the most lasting lessons from my professional journey is that therapy only works when it’s rooted in genuine care. I don’t do this work just because it’s my profession—I do it because I truly care about the people I meet. I listen deeply and make every effort to support my clients in meaningful ways. My goal in this world is to make it a little bit better, one person and one small step at a time. I believe that even the smallest moments of understanding and connection can create lasting change.
If there was one thing you wish people knew about the therapy experience who might be hesitant to try it, what would that be?
I know that reaching out for therapy can feel scary. Taking that first step and allowing yourself to be vulnerable isn’t easy—I feel that too, even when I reach out for support. It takes courage to start searching and reading about therapy, and I truly admire that effort.
You don’t need to have everything figured out before you begin. Just reaching out is already a meaningful step forward. I’m here to listen, to support you, and to walk alongside you as you move through this process. You’re not alone in this.
Location
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Specialties
Specializes in
AnxietySelf HarmTraumaWomen's issuesCoping Skills
General Expertise
DepressionWork StressLoss/GriefSelf-EsteemSexuality Based IssuesAcademic challengesAdolescent mental healthAttachment issuesCaregiver stress & supportCollege & graduate student issuesLife transitionsParenting issuesPerformance anxietyPhobias & fearsPost-traumatic Stress Disorder (PTSD)StressTransition to new parenthoodCoping SkillsPeer RelationshipsSchool Issues
Treatment Approaches
Strength Based TherapyMindfulness PracticesEye Movement Desensitization and Reprocessing (EMDR)Person-Centered TherapyTrauma-Focused Cognitive Behavior TherapyAcceptance and Commitment Therapy (ACT)Psychodynamic Therapy
Clientele
Types of Therapy
Individual Therapy
Serves Ages
Young Adults (18-24)Adults (25-65)Adolescents (13-17)
Languages
EnglishGerman
Professional Background
Licensure
Under Supervision: Caroline Ciesko, Licensed Clinical Mental Health Counselor Associate, MC61666662 is practicing under the supervision of Sarah Dochow (Washington, LMHC, LH60498747) at Pebble and Pine Therapy.
Please, note: A clinician listed as being “clinically supervised” is completing clinical hours toward their licensure. They have one or more fully licensed clinical supervisors that often have special training. They consult with their supervisor(s) on all of their cases.
Training/CertificationsEMDRTR-CBTDBTTF-ACTCertified Trauma ProfessionalAnxiety Informed Professional
Education
Seattle University, Master of Arts, Clinical Mental Health, 2025
Work HistoryBefore becoming a mental health counselor, I worked for many years as a school psychologist, supporting children, families, and educators through challenging situations. That experience taught me how deeply our early relationships and environments shape the way we see ourselves and connect with others.
In my current work, I draw on that foundation to support adults navigating grief, anxiety, trauma, and life transitions. I’ve spent years helping clients make sense of loss, rebuild after difficult experiences, and reconnect with what truly matters to them. My approach blends compassion with practical tools—helping clients both understand their emotions and create meaningful change in their lives.
As an immigrant and mother, I also understand firsthand the complexity of adapting to new roles, cultures, and seasons of life. These experiences inform my perspective and help me create a space that feels grounded, understanding, and real.
Frequently Asked Questions
It’s not uncommon to have questions before starting therapy.
Caroline Ciesko, LCMHC-A, has answered a few of the questions they receive most often from new clients.
Is Caroline Ciesko accepting new clients?
Yes, Caroline Ciesko is accepting new clients for online therapy in Washington.
Does Caroline Ciesko accept insurance?
No, Caroline Ciesko does not accept insurance.
What types of therapy does Caroline Ciesko offer?
Caroline Ciesko offers therapy for individuals.
Does Caroline Ciesko offer in-person appointments?
No, but people in Washington can book Caroline Ciesko for virtual appointments (teletherapy).
Does Caroline Ciesko offer online therapy?
Yes, Caroline Ciesko offers online therapy via video sessions and phone sessions to people in Washington.
How quickly can I see Caroline Ciesko?
Caroline Ciesko typically can speak with new clients within 48 hours. You can see their current general office hours and request an appointment on their profile page.
What languages does Caroline Ciesko speak?
Caroline Ciesko conducts therapy sessions in English and German.
Can I book an appointment with Caroline Ciesko online?
Yes, you can easily book an appointment with Caroline Ciesko online using ChoosingTherapy.com’s directory.