About Leslie
Leslie Cullen is a Licensed Mental Health Counselor (LMHC) in Washington with 30 years of clinical experience. She helps people who are anxious, stressed, grieving, struggling with addiction, or facing identity and intimacy concerns. Leslie pays attention to what feels manageable right now and helps people try practical changes one step at a time.
Leslie focuses on present-day patterns and how thoughts, behaviors, and relationships shape daily life. She often uses cognitive and behavioral techniques to help people notice unhelpful thinking and build new habits.
Background and approach
She also draws on attachment ideas to make sense of relationship patterns and on client-centered methods to keep the conversation grounded in each person’s priorities. Sessions are conversational and practical. Leslie works to break big problems into small tasks that fit each person’s routine.
She guides coping skills practice and short-term behavioral experiments to test what helps and what needs adjusting. Leslie has substantial experience with trauma, depression, ADHD, bipolar concerns, and compassion fatigue. She also supports people navigating gender identity and sexual orientation questions and additional challenges such as isolation, caregiver stress, and end-of-life matters.
People who prefer straightforward, present-focused work may find her approach helpful. She offers video calls, phone sessions, live chat, and text-based messaging as ways to connect. Sessions use a subscription that can be canceled at any time.
Therapeutic approaches that translate to online care
Leslie uses cognitive behavioral therapy to help people notice patterns of thinking and test small behavior changes; this approach works well for anxiety, depression, sleep problems, and many daily habits. Attachment-based ideas are also part of her work, helping people understand how early relationship patterns shape current interactions and closeness. Client-centered therapy keeps the focus on each person’s priorities, ensuring sessions follow what matters most to the individual rather than a preset agenda.Choosing the right approach is a collaborative process. Leslie will discuss goals, preferences, and what feels useful, and then try strategies together. The plan can change over time based on what helps most, blending approaches when that matches a person’s needs.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and situations. Video sessions allow face-to-face interaction for skills practice and feedback. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and messaging can support short updates, journaling between sessions, or moments when typing feels easier than speaking. These options aim to make therapy flexible and accessible while keeping work focused on practical steps and real-life changes.
Questions people ask
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What this therapist works with
Most often
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Caregiver issues and stress
- Co-morbidity
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Washington
- Languages
- English
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