Katie Estrella , LCSW

Katie Estrella is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with five years of professional experience. She focuses on helping people manage stress, anxiety, depression, relationship difficulties, trauma and abuse, and grief and loss, drawing on practical therapy methods to address both immediate concerns and longer-term patterns.

Katie emphasizes building a trusting therapeutic relationship, believing that a safe, nonjudgmental space is itself a central part of healing. She collaborates with clients to explore feelings and thoughts openly while tailoring interventions to each person’s needs and goals. In her work she uses cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and conversational talk therapy to teach coping skills, challenge unhelpful patterns, and support emotional processing.

Taking the first step toward a more fulfilling life often requires courage, and Katie offers steady, compassionate support throughout that process. She aims to create an environment where clients feel heard, respected, and guided as they work toward clearer communication, healthier relationships, and improved well-being.

Approaches That Inform Katie’s Online Work

Katie draws on attachment-based therapy to explore how early and current relationship patterns influence emotions and behavior. This approach helps clients understand attachment needs, address abandonment or trust concerns, and improve connection in close relationships. She also employs client-centered therapy, which emphasizes empathy, active listening, and collaboration so clients feel understood and guided rather than directed; it is useful for building self-awareness and confidence. Cognitive behavioral therapy (CBT) is another key tool Katie uses to identify unhelpful thoughts and develop practical coping strategies for anxiety, depression, and stress.

Finding the right approach is part of the therapeutic process. Katie works collaboratively with each person to determine which methods best fit their needs, goals, and preferences, adjusting techniques as progress unfolds and new priorities emerge.

Online therapy with Katie is available by video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care from home, work, or while traveling, and they allow therapists and licensed professionals to meet clients where they are so progress can continue despite busy lives or geographic constraints.