Caroline Ciesko, LMHCA, WA | Psychotherapist

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

Teenagers (13-17)

Individuals

Young adults (18-24)

Adults (25-64)

Treatment approaches

Acceptance and Commitment (ACT)

Cognitive Processing (CPT)

Attachment-based

Dialectical (DBT)

Cognitive Behavioral (CBT)

EMDR

Identity

Gender

Female

Sexuality

Straight

Faith

Christian

Ethnicity

White

Languages spoken

English, German

Getting to know Caroline Ciesko

Hi, I’m Caroline Ciesko, a Licensed Mental Health Counselor Associate (LMHCA) in Washington. I support adults who feel overwhelmed by anxiety, stuck in relationship patterns, navigating grief or major life transitions, or carrying “old stress” that keeps showing up in the present. Many of my clients are high-functioning on the outside but feel exhausted inside — often from people-pleasing, overthinking, or trying to hold everything together. My approach is trauma-informed and attachment-based, which means we’ll look at the roots of what you’re experiencing with compassion and without judgment. I also integrate practical, evidence-based tools so you can feel more grounded and supported in daily life. When it’s a good fit, I incorporate EMDR to help reduce reactivity and shift patterns that feel stuck. Therapy with me is collaborative, warm, and paced to your comfort level. My goal is to help you feel steadier, more connected to yourself, and more confident in how you navigate relationships and life.

What should a new client know about working with you?

You can expect a supportive, down-to-earth space where you don’t have to have the “right” words. I’ll help you slow things down, make sense of what’s happening inside, and build skills you can actually use between sessions. I’m gentle and compassionate, and I’ll also help you notice patterns and practice new ways of responding when you feel stuck. We’ll move at a pace that feels manageable. Some sessions may feel reflective and deeper; others may be more practical and skill-focused. Either way, we’ll keep your goals in mind and check in regularly about what’s working for you.

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.

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In-network insurances

Caroline Ciesko, LMHCA has 50+ in-network plans.

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

Popular visit reasons

Agoraphobia

Cognitive Processing Therapy (CPT)

Depression

Hoarding Disorder

New Patient Visit

Psychotherapy

Psychotherapy Intake / Initial Visit

Sleep Problems

Agoraphobia

Cognitive Processing Therapy (CPT)

Depression

Hoarding Disorder

Education and background

Practice names

Pebble and Pine Therapy

Board certifications

National Board for Certified Counselors

Education and training

Seattle University, Master's in Clinical Mental Health Counseling

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

2 reviews

Most relevant

Less than 3 months agoInitials hiddenVideo visit

February 17, 2026Jolene P.Verified patientVideo visit

Frequently asked questions

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?

2 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.