Carly Fusilli

I'm Carly, an LPC based in Pennsylvania offering telehealth sessions to adolescents, adults, and seniors across the state. I've built a practice around clients who are smart, self-aware, and still stuck - people who've tried to think their way through their problems and discovered that thinking harder isn't the answer. My specialties include OCD, women's issues, family and relationship dynamics, and trauma. I work with teenagers navigating a world that feels too loud, women carrying more than they should, and adults who are done managing and ready to actually change. If you've been looking for a therapist who is direct, practical, and genuinely invested in your progress, I've love to connect.

I use Dialectical Behavior Therapy (DBT), Motivational Interviewing, and a Strength-Based framework, which means I meet you where you are and build on what's already working, rather than focusing exclusively on what's broken. DBT gives us real, concrete skills for managing overwhelming emotions, navigating relationships, and tolerating distress without making things worse. I'm not a blank-slate therapist - I bring warmth and directness into the room, and I'll be honest with you about what I'm seeing and what I think will actually help. Sessions are collaborative: your goals drive the work.

Expect a real conversation - not a checklist. I'll ask you what's bringing you in, what you've already tried, and what you actually want your life to look like on the other side of this. I won't rush to diagnose or prescribe a plan on day one. By the end of our first session, you should feel heard, have a clearer sense of whether we're a good fit, and leave with something useful - even if it's just the relief of having said it all out loud. I offer telehealth sessions across Pennsylvania.