01 · Who Carla works with

Carla works with stress, Anxiety, relationship issues and self esteem

Carla lists 11 specialisms and 27 further focus areas. Specialisms are the subjects Carla chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Carla's own words

What Carla says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

As a licensed therapist in Missouri, I bring over two decades of compassionate clinical experience supporting individuals through life's complex challenges. My practice centers on helping clients navigate stress, anxiety, relationship dynamics, and personal growth with empathy and expertise.

I specialize in supporting women through transformative life stages, focusing on self-esteem, communication, workplace challenges, and midlife transitions. My approach is deeply attuned to the unique experiences of individuals seeking to understand themselves more deeply and cultivate meaningful personal change.

My therapeutic work emphasizes self-love, body image healing, and helping clients discover their sense of purpose. I create a supportive environment where individuals can explore their inner landscape, develop resilient coping strategies, and build more authentic, fulfilling lives.

Through collaborative and personalized counseling, I'm committed to walking alongside you as you navigate your personal growth journey, honoring your individual strengths and potential for transformation.

Carla Frankoviglia-Gilfry, on the BetterHelp listing · read 5 Nov 2026

03 · How Carla works

The 7 approaches Carla lists, in plain English

These are the clinical methods Carla lists. The descriptions are Maker Therapy's, not Carla's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Carla runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

The Gottman Method

A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Internal Family SystemsIFS

Treats the mind as made up of parts - the critic, the one who withdraws, the one that keeps everything running - each of which is trying to protect you. The work is getting to know them rather than overruling them.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Carla practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Carla's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Carla at this point.

2. Naming Carla specifically

   BetterHelp matches algorithmically by default, so asking for Carla is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Carla.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Carla

Built from what Carla actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Carla's - Carla has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “With 24 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Missouri

Licence

MO LPC 2002020626

Licence number

2002020626

Licence expires

30 Jun 2027

NPI

1962430777

Years in practice

24

Gender

Female

Languages

English

International clients

Accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Carla's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 5 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Carla. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.