About Leslie
Leslie Cullen is a Licensed Mental Health Counselor (LMHC) with three decades of clinical experience. She focuses on helping people manage anxiety, stress, depression, ADHD, and addiction-related concerns. Her approach is straightforward and practical, aimed at creating small, workable changes that fit daily life.
Leslie draws on cognitive and behavioral ideas to help clients spot unhelpful patterns and try new responses. She also uses attachment-based thinking to look at how relationships shape emotional reactions.
Background and approach
Jungian ideas are sometimes woven in to explore personal meaning and identity. Sessions tend to focus on the present and on building skills that carry into real situations. She encourages mindfulness and reflection so clients can notice triggers and choose different actions.
Therapy often includes setting small goals, practicing new habits, and checking what works. Leslie has long experience with LGBTQ concerns, including gender and sexual orientation issues. She also addresses a wide range of life difficulties such as grief, sleep problems, anger, caregiving stress, and challenges that come with aging.
People who come to Leslie can expect a calm, pragmatic style. She aims to create clear steps forward and to tailor work to individual goals. Her practice is based in Washington and sessions are offered through multiple online formats.
How Leslie's Approaches Work Online
Attachment-based work looks at how early and current relationships affect feelings and reactions; it helps when relational patterns fuel anxiety, anger, or loneliness. Client-centered therapy prioritizes the person in the room, offering listening and empathy so people can find their own solutions and build self-understanding. Cognitive Behavioral Therapy (CBT) teaches practical skills for noticing unhelpful thoughts and changing behaviors, which is useful for anxiety, ADHD challenges, sleep problems, and mood shifts.Finding the best approach is a collaborative process. Leslie will talk with each person about their goals, preferences, and what has or hasn't helped before. Together they decide whether to focus more on skills, relationship patterns, or personal meaning, and they adjust that plan as progress is made.
Online formats - video calls, phone sessions, live chat, or text-based messaging - make therapy more flexible. Video allows face-to-face conversation and visual cues. Phone sessions can work well when bandwidth is limited or when someone prefers not to be on camera. Live chat or messaging is handy for brief check-ins, journaling between sessions, or building skills in small steps. These options help people fit therapy into busy schedules and different routines.
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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