About Leslie
Leslie Cullen is a Licensed Mental Health Counselor who helps people manage stress, anxiety, depression, and other hard moments. She brings 30 years of experience and a straightforward, present-day approach to sessions. Her style aims to make change feel doable rather than overwhelming.
Leslie focuses on practical steps rooted in how thoughts, feelings, and behavior interact. She often uses cognitive and behavioral techniques to help clients notice patterns and try new ways of responding.
Background and approach
Mindful awareness and reflection are used to connect insight with real-life choices. She also draws on attachment ideas to look at how relationships shape expectations and safety. That work can help people understand recurring relationship struggles or patterns that affect intimacy, trust, and communication.
Jungian concepts may be added when exploring deeper personal meaning and identity over time. Leslie has long experience helping people facing trauma, addiction, grief, sleep problems, anger, and changes related to aging or caregiving. She pays attention to how co-occurring issues like ADHD, bipolar symptoms, or dissociation complicate everyday functioning and adjusts her approach accordingly.
Sessions emphasize clear goals and simple practices clients can use between meetings. She supports those dealing with LGBT and gender dysphoria concerns, HIV/AIDS, and end-of-life issues while keeping the focus on realistic next steps. People who want calm, practical guidance for managing life transitions often find her approach helpful.
Approaches that guide online work
Attachment-based work looks at how early relationships shape expectations and patterns. Online sessions can use this approach to spot repeated relationship habits and to practice different ways of relating in everyday life. Client-centered therapy emphasizes listening and collaboration, focusing on the person's own goals and experiences to guide each session. This helps people feel heard and to find solutions that fit their values. Cognitive Behavioral Therapy, or CBT, helps people notice unhelpful thoughts and try small experiments to change reactions and behavior; it is often used for anxiety, depression, sleep problems, and anger.Choosing the right mix of approaches is part of the work. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before, then try methods that fit those needs. That decision is collaborative and can change as progress is made.
Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different days and routines. Video calls allow face-to-face conversation, phone sessions use less bandwidth and can fit a short break, live chat works for quicker check-ins, and text messaging supports ongoing reflection between meetings. These options aim to make therapy easier to fit into a busy life while keeping the focus on practical steps and steady progress.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- 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