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Carly Trombley

I’m a licensed Marriage and Family Therapist (LMFT) in the state of Washington.

I work with adults, adolescents and couples on the following concerns:

  • marital and interpersonal challenges

  • anxiety disorders, OCD, and specific phobias

  • depression

  • emotion regulation

  • parenting challenges

As a therapist I step into several roles: conversational partner, contrarian, guide, coach, and container. I’m curious, optimistic, enthusiastic, and passionate about helping people do what matters to them.

I do my best to understand who you are, your relationship history, areas of struggle, and strengths. As we work together I will wind up caring a great deal for you. You can expect me to be honest with you, and to point out potential blind spots that may be hindering your growth.

Joan Didion writes about the private act of keeping a notebook, describing its contents as “bits of the mind’s string.” For me, therapy is like a relational approach to “bits of the mind’s string,” which are exposed to reveal how we see and what we think.

Therapy is a practicing ground for improved ways of living. Ultimately, I hope to help you change problematic behaviors and create stronger relationships with others.


Education, Training, and Style

I’ve worked closely with leaders and trainers in the evidence-based fields of Acceptance and Commitment Therapy (ACT), Functional Analytic Psychotherapy (FAP), and Exposure and Response Prevention (ERP) at The Seattle Clinic.

I completed my clinical training in Medical Family Therapy at PeaceHealth, Lewis & Clark Counseling Center, and The Dougy Center: National Center for Grieving Children & Families.

My master's degree (M.A.) in Marriage, Couple, and Family Therapy is from Lewis & Clark College in Oregon.


How I Work

I use several cognitive behavioral therapies (CBT), primarily Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP) when working with OCD and anxiety, and Functional Analytic Psychotherapy (FAP).

  • Acceptance and Commitment Therapy (ACT) is a mindfulness based cognitive therapy focused around two main processes: 1) developing acceptance of difficult and unwanted thoughts and feelings (many of which are out of our personal control) and, 2) acting on our values to create a meaningful life.

  • Exposure and Response Prevention (ERP), focuses on overcoming distressing and disabling anxiety by facing fears. This happens by engaging with feared situations, which eventually creates and strengthens new and improved behavioral repertoires.

  • Functional Analytic Psychotherapy (FAP) uses the relationship you and I build to pay attention to and shape behaviors. We do this by seeing if the problems you are having in daily life are occurring in some form in the therapy session.


At times I may encourage slowing down to pay closer attention to behavior loops, memories, and emotions in order to hold challenging thoughts and feelings more lightly. It can be valuable to examine how thoughts connect to physical sensation and nervous-system response because our body cues impact our feelings which impact how we behave.

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