What patients are saying
Overall rating
5.00
Average wait time
5.00
Bedside manner
5.00
About Caroline Ciesko
Focus areas
Anxiety
Childhood Trauma
Life Transition
Anxiety Disorder
EMDR Therapy
Post-Traumatic Stress Disorder (PTSD)
Bereavement / Grief Counseling
Intergenerational Trauma
Clientele seen
Young adults (18-24)
Adults (25-64)
Individuals
Treatment approaches
Acceptance and Commitment (ACT)
Dialectical (DBT)
Attachment-based
EMDR
Cognitive Behavioral (CBT)
Humanistic
Identity
Gender
FemaleSexuality
StraightFaith
ChristianEthnicity
White
Languages spoken
English, German
Getting to know Caroline Ciesko
Hi, I’m Caroline Ciesko, a Licensed Mental Health Counselor Associate (LMHCA) in Washington. My work focuses on trauma, anxiety, and the ways past experiences continue to shape our emotions, relationships, and sense of self. I also support adults navigating grief and major life transitions. Many of my clients seem to be holding everything together while feeling overwhelmed inside—caught in overthinking, people-pleasing, self-criticism, or patterns they want to change but don’t yet fully understand.
I often begin with practical tools from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) to help you navigate difficult emotions, manage anxiety, and feel more grounded in daily life. These skills offer support in the moment and help create a foundation for deeper exploration.
As you feel ready, we’ll work toward understanding and addressing the origins of your struggles. I integrate trauma-informed, attachment-based approaches, EMDR when appropriate, and parts work. Through parts work, we can compassionately explore the different sides of your inner experience—including those that feel anxious, push you to keep going, or try to protect you by avoiding pain. Understanding what these parts need and how they learned to protect you can help soften internal conflict and create more choice in how you respond.
Therapy with me is warm, collaborative, and paced to your needs. Together, we’ll work toward both relief in the present and deeper healing, so familiar patterns have less influence and you can move through life with greater self-trust, connection, and confidence.
What should a new client know about working with you?
I offer online therapy for adults in Washington, creating a supportive, down-to-earth space where you don’t need to have the “right” words. My background as a school psychologist informs my understanding of how early experiences and relationships shape us, and I bring curiosity about both the challenges you face and the strengths you’ve developed along the way.
You can expect me to be gentle and compassionate while helping you notice patterns and practice new ways of responding when you feel stuck. Together, we’ll slow things down, make sense of what’s happening inside, and build skills you can use between sessions.
We’ll move at a manageable pace, without pressure to share more than you’re ready to. Some sessions may be reflective and focused on deeper exploration; others may be more practical and skill-focused. Throughout our work, we’ll keep your goals in mind and check in regularly about what feels helpful and what needs adjusting.
What is your typical process for working with clients?
In the first session, we’ll focus on what brings you in, what you’ve already tried, and what you’d like to be different. We’ll talk about relevant history at a level that feels safe, identify current stressors and patterns, and clarify a few practical goals for therapy. If it’s helpful, we may use brief screening tools for anxiety, depression, and stress so we can track progress over time.
In ongoing sessions, we’ll usually start with a quick check-in and decide together what feels most important that day. We may explore emotions and relationship patterns, work with the body’s stress response (grounding and regulation skills), practice communication tools, and build a plan for the week ahead. If EMDR is part of your care, we’ll spend time preparing with stabilization skills first, then move into processing at a pace that supports your nervous system and your sense of safety.
Is this doctor in your insurance network?
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In-network insurances
Caroline Ciesko, LMHCA has +43 in-network plans.
Don’t see your insurance?
It’s common for mental health providers to be out-of-network. Many insurance plans offer out-of-network coverage, so you may get partially reimbursed. Learn more
Out-of-pocket fees and assistance
Initial session: $180 for 60 minutes
Ongoing session: $150 for 53 minutes
- Sliding scale: Offers lower out-of-pocket fees on an individual basis, typically based on your ability to pay
- Files your insurance claim: You pay the session fee upfront and the provider files the claim for you, so you can get reimbursed directly without worrying about the paperwork
Education and background
Practice names
Board certifications
- National Board for Certified Counselors
Education and training
- Seattle University, Master's in Clinical Mental Health Counseling
Professional memberships
- American Psychological Association
- Washington Mental Health Counselors Association
NPI number
1255213310
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
5.00
Wait time
5.00
Bedside manner
5.00
Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here
3 reviews
Most relevant
September 9, 2026Randy R.Verified patientVideo visit
Less than 1 year agoInitials hiddenVideo visit
February 17, 2026Jolene P.Verified patientVideo visit
How soon can I make an appointment with Caroline Ciesko?
Generally, Caroline Ciesko has appointments available on Zocdoc within 1 week. You can see Caroline Ciesko's earliest availability on Zocdoc and make an appointment online.
Is Caroline Ciesko accepting new patients?
Caroline Ciesko generally accepts new patients on Zocdoc. You can see Caroline Ciesko's earliest availability on Zocdoc and schedule an appointment online.
Does Caroline Ciesko accept my insurance?
Choose your insurance plan to verify if Caroline Ciesko is in-network.
Can I make an appointment with Caroline Ciesko online?
Yes, you can make an appointment online with Caroline Ciesko using Zocdoc. It’s simple, secure, and free.
What practice does Caroline Ciesko work with?
Caroline Ciesko works with Pebble and Pine Therapy.
Which board certifications does Caroline Ciesko have?
Caroline Ciesko is certified by National Board for Certified Counselors.
What are common reasons for patients to see Caroline Ciesko?
Caroline Ciesko frequently sees patients for Depression, New Patient Visit, Psychotherapy, Psychotherapy Intake / Initial Visit, and Sleep Problems. You can see other visit reasons for Caroline Ciesko on their profile.
What languages does Caroline Ciesko speak?
Caroline Ciesko speaks English and German.
How do patients rate Caroline Ciesko in reviews?
3 patients have reviewed Caroline Ciesko. The overall rating for this doctor is 5/5. They have a 5/5 rating for bedside manner and a 5/5 rating for wait time. You can read individual reviews and ratings on their profile.