- Stress and anxiety
- Life changes
- Attachment issues
About Leslie
Leslie Cullen is a Licensed Mental Health Counselor (LMHC) in Washington with 30 years of clinical experience. She works with adults facing stress, anxiety, depression, trauma and abuse, relationship and intimacy concerns, addiction, ADHD, grief, sleeping problems, anger, low self-esteem, and coping with life changes. She also lists work with LGBT and gender-related concerns and a range of additional focus areas such as caregiver stress and aging issues.
Leslie emphasizes present-focused work that looks for practical steps clients can use right away. She leans on cognitive and behavioral techniques to identify unhelpful patterns and replace them with clearer choices. Insight and reflection are used in the moment to help clarify needs and wants.
Her approach pays attention to how current thinking and behavior link to identity and social context. Attachment-based ideas inform how people relate to others and to themselves. Jungian concepts may appear when exploring deeper patterns and symbols that influence decisions and life direction.
Sessions aim to blend skills work with reflective conversation. That can mean learning new coping strategies, practicing emotion regulation, and naming values that matter now. Leslie often integrates mindfulness-rooted noticing to support those steps.
She brings experience with long-term mental health and substance-use concerns alongside work with LGBTQ+ issues. People who come when they feel stuck after a life change often find the focus is on what can be done next, rather than on broad abstract goals.
How her approaches translate to online work
Leslie draws heavily on Cognitive Behavioral Therapy and Attachment-Based Therapy in her work. CBT focuses on identifying unhelpful thoughts and behaviors and practicing concrete alternatives, which is useful for anxiety, depression, and sleep problems. Attachment-based ideas look at how early and current relationship patterns shape expectations and reactions, which can help with intimacy, relationship issues, and loneliness.Finding the right approach is part of the therapeutic process. She works collaboratively to assess a person's needs, goals, and preferences and then adapts methods accordingly. That may mean starting with skills-based CBT exercises and adding attachment-focused exploration as trust and clarity grow.
If you plan to meet online, confirm the session formats available before booking since the biography does not list specific options. Online work can make it easier to fit sessions into a day, allow shorter check-ins when schedules are tight, and let people use video or phone in ways that match their energy and bandwidth. Practical benefits include fewer travel demands and the ability to continue work during life transitions while exploring next steps.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, addictions, ADHD, grief, sleeping problems, anger, bipolar challenges, and coping with life changes among other concerns.
How would she approach feeling stuck or directionless?
She uses present-focused work and cognitive-behavioral techniques to identify patterns and try small, practical changes. Reflection and in-the-moment noticing help clarify next steps.
What is her background and experience?
She has 30 years of clinical experience working with long-term mental health and substance use concerns and with LGBTQ+ related issues.
What are her credentials and where is she based?
She is a Licensed Mental Health Counselor (LMHC) licensed in Washington and practices from that state.
Does she offer sessions in other languages?
Sessions are offered in English only.
Can people outside the United States work with her?
She does not accept international clients at this time.
How are sessions scheduled and what formats are used?
Please confirm current session options before booking as formats were not specified in the biography.
How much do sessions cost and how do I begin?
Cost varies with location and sessions use a subscription that can be canceled at any time. To start, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.