Leslie Cullen, LMHC

Leslie Cullen is a Licensed Mental Health Counselor (LMHC) with 30 years of clinical experience supporting people through a wide range of mental health and life challenges. She brings extensive training working with diverse populations, including those with chronic mental illness and substance use disorders, and has particular experience addressing gender and sexual orientation matters within the LGBTQ+ community.

Leslie emphasizes present-focused work that helps clients identify practical ways to introduce new ideas and lasting change into daily life. She draws primarily on cognitive and behavioral techniques and integrates current neurological insights as they relate to emotional well-being. In sessions she balances insight and reflection with mindful attention to the current moment, helping clients clarify needs, wants, and an objective sense of self that aligns with cultural and social contexts.

Clients engage with Leslie around stress, anxiety, trauma and abuse, depression, addictions, relationship and intimacy concerns, grief, ADHD, bipolar challenges, sleep difficulties, anger, self-esteem, and coping with life transitions. She also supports issues related to aging, caregiver stress, attachment and dissociation, autism spectrum concerns, gender dysphoria, HIV/AIDS, hospice and end-of-life counseling, and other complex co-morbid conditions. Her approach is collaborative and tailored to each person’s situation and goals.

Integrating Attachment, Client-Centered, and CBT in Online Care

Leslie uses Attachment-Based Therapy to explore how early relationship patterns influence current connections and emotional responses - this approach is useful for people struggling with intimacy, trust, or repeating relationship cycles. She incorporates Client-Centered Therapy principles by creating a respectful, nonjudgmental stance that helps clients feel heard and supported while they identify their own goals and values. Cognitive Behavioral Therapy (CBT) is another cornerstone of her work, offering practical strategies to identify and shift unhelpful thought patterns and behaviors that contribute to anxiety, depression, or problematic coping.

Finding the right approach is part of the therapeutic process; Leslie collaborates with each person to determine which methods best fit their needs, goals, and personal preferences, and she adjusts the plan as progress unfolds. This collaborative stance helps tailor interventions to what proves most effective for the individual.

Online therapy with Leslie is available via 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 during life transitions, manage busy days, and access consistent support from licensed professionals and therapists without needing to travel.