Cara Carleton

LCSW (she/her)12 years of experienceNext available
5.0 (23)
Authentic
Solution oriented
Intelligent

Are you wondering if your drug or alcohol use is becoming a problem? Do you know that it is a problem, but cannot seem to control it? I am experienced in working with a range of substance use issues, from mild to severe, as well as process or behavioral addictions, such as addictions to sex, shopping, pornography, food, and people. Effective psychotherapy can include helping limit your use and minimize its consequences, or complete abstinence, and an assessment if medication such as Suboxone, Methadone, or Vivitrol is right for you.

Effective psychotherapy can include helping limit your use and minimize its consequences, or complete abstinence, and an assessment if medication such as Suboxone, Methadone, or Vivitrol is right for you.

First session

My work focuses on substance use and other forms of self-sabotage, through a lens that is compassionate, collaborative, and flexible. Whether you’re struggling with alcohol, drugs, food, spending, or another pattern that’s getting in your way, I’m here to help you identify what’s beneath it—and gently shift toward something healthier.

Strengths

My natural ability to tune into my clients' needs and understand their unique experiences sets me apart from others in my field. Some of my strengths include my ability to facilitate motivation and readiness for change, my knowledge of and nonjudgmental approach to addictive behaviors, and my capacity to draw upon each client’s innate strengths. It is a privilege to be trusted with people’s innermost thoughts and feelings; as such, I approach therapeutic relationships from a place of genuine care.

Ideal clients

I specialize in helping people break free from addictive and compulsive behaviors. In our work together, we will take a deeper dive into the root of those behaviors. We will simultaneously implement behavioral strategies that allow you to take control of your actions and live according to your ideals.

Treatment methods

Cognitive Behavioral (CBT)

I draw upon a combination of therapeutic techniques to customize an approach that is slightly different for all of my clients. I often use CBT to prompt clients to identify the thoughts and beliefs that are perpetuating the behavior they want to change.

Motivational Interviewing

Motivational Interviewing is a conversational style that enhances and activates a client's internal motivation. It prioritizes client autonomy and working through ambivalence, or the conflicting feelings of wanting change and wanting to protect the status quo.

Interpersonal

Grounded in my training in psychoanalytic psychotherapy, I seek to understand the root causes for addictive behavior while applying behavioral techniques to affect immediate, profound change. My approach is interpersonal above all else as research shows that the quality of the relationship between a client and therapist is the most important factor in positive therapeutic outcomes.

Location

Virtual sessions

Reviews and ratings

5.0 rating (23)7 reviews
July 13, 2026

Cara is sincere, welcoming, and attentive. I am able to open up easily with her. I appreciate her professionalism and caring. I feel better after speaking with her. She has a knack for pointing out the truth concerning my issues.

Verified client, age 45-54Review shared after session 2 with Cara
May 11, 2026

Had a great session today with Cara. She brought a viable solution to me and I really appreciate the work she has done with me.

Verified client, age 25-34Review shared after session 4 with Cara
October 28, 2025

Cara is simply top notch. Cara is very knowledgeable, personable, and insightful. Cara is very pleasant to work with, yet she still is willing to share her professional and challenging assessments in a kind and respectful manner. I look forward to my sessions with Cara.

Verified client, age 55-64Review shared after session 5 with Cara

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Schedule 60 min