01 · Who Carolshene works with

Carolshene works with stress, Anxiety, trauma and abuse and self esteem

Carolshene lists 5 specialisms and 7 further focus areas. Specialisms are the subjects Carolshene chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Carolshene's own words

What Carolshene says about the work

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

For over two decades, I have dedicated my life to the art and science of therapy, committed to helping individuals navigate their personal challenges and achieve meaningful change. My journey began with a deep passion for understanding the human experience, which has since evolved into a multifaceted practice grounded in evidence-based modalities.

Throughout my career, I have honed my skills in a variety of therapeutic approaches, including Eye Movement Desensitization and Reprocessing (EMDR), ART, and Cognitive Behavioral Therapy (CBT). Each of these modalities has equipped me to address complex trauma and equip my clients with the tools they need to heal and grow. My extensive experience in trauma-focused therapies has allowed me to create safe spaces where individuals can confront their pasts and build resilience for the future.

A significant portion of my work has centered around substance abuse counseling, where I have spent 20 years developing my expertise in both group and individual settings. This work has not only deepened my understanding of addiction but has also reinforced the importance of community and connection in the recovery process. For the past 15 years, I have been on the front lines of crisis intervention, assisting individuals facing some of the most challenging moments of their lives. Together, we create tailored action plans that empower them to forge a path toward healing and stability.

My practice is inclusive and diverse, having had the privilege of working with clients ranging from as young as five to adults in their sixties. I find particular joy in working with teenagers, helping them navigate the tumultuous landscape of adolescence, and providing support to women grappling with issues related to body image and weight management. My understanding of eating disorders and compulsive behaviors, including addictions to pornography, allows me to approach these sensitive topics with empathy and expertise.

In my work, I strive to foster an environment where clients feel seen, heard, and validated. I believe that every individual’s story is unique, and I am here to walk alongside them as they uncover their strengths and develop strategies for overcoming obstacles. My commitment to ongoing professional development and self-reflection ensures that I remain at the forefront of therapeutic practices, continually enhancing my ability to support those I serve.

As I reflect on my journey, I am grateful for the opportunity to contribute to the healing of others. My work as a therapist is not just a profession; it is a calling that brings me immense fulfillment and purpose. Together, we can embark on a transformative journey toward healing and self-discovery, empowering individuals to reclaim their lives and thrive.

Carolshene Powell, on the BetterHelp listing · read 5 Nov 2026

03 · How Carolshene works

The 7 approaches Carolshene lists, in plain English

These are the clinical methods Carolshene lists. The descriptions are Maker Therapy's, not Carolshene'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 Carolshene 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.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

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.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Carolshene 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 Carolshene'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 Carolshene at this point.

2. Naming Carolshene specifically

   BetterHelp matches algorithmically by default, so asking for Carolshene 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 Carolshene.

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

4 questions worth asking Carolshene

Built from what Carolshene actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Carolshene's - Carolshene 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.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 20 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

LCMHC

Licensed in

Utah

Licence

UT LCMHC 5617259-6004

Licence number

5617259-6004

Licence expires

30 Sep 2028

NPI

1407138076

Years in practice

20

Gender

Female

Languages

English

International clients

Not accepted

Listed since

12 Jun 2026

07 · Provenance

Where every line on this page came from

Carolshene'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 Carolshene. 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.