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Carla Tilley-Barker

14 years experience

Pronouns

She/Her

Location

Riverside , CA

About Me

I work closely with my clients to explore their values, needs and aspirations, helping them identify specific realistic objectives that align with their overall well-being. Celebrating progress helps clients stay motivated and engaged in their journey, creating a sense of ownership and empowerment over their personal growth.

Our First Conversation

Our first session is a conversation, not an intake form. I'll ask what brought you in, what you've already tried, and what you're hoping changes. We'll figure out together whether we're a fit; if I think someone else on the team would serve you better, I'll say so. From there, weekly 50-minute sessions are typical for the first few months. We'll check in periodically on what's working and recalibrate if something isn't. I send no homework you didn't agree to, and I don't grade you on between-session work — but I'll often suggest small experiments that move things forward faster than talk alone.

What You Can Count On From Me

The clients who've stayed longest tell me three things stand out. I track the throughline across sessions and bring it back into the room so a pattern you couldn't quite name becomes hard to miss. I push back when I think you're circling something rather than landing on it. And I treat fit as my problem to solve, not yours — if I think someone else on our team would serve you better, I'll say so before you've invested weeks finding out.

Who I’m Here For

My strongest fit is with adults in their 20s through 40s who look like they're handling life from the outside but feel persistently anxious, depleted, or disconnected underneath. That includes professionals running hot from burnout, partners working through the long aftermath of a rupture, and people processing grief or family-of-origin patterns showing up uninvited in adult relationships.


My Therapeutic Approach

I draw primarily on Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). With CBT, I'm less interested in worksheets and more interested in helping you notice the thoughts that drive the loop you're stuck in — and then experimenting with what changes when you respond differently. ACT adds the piece CBT alone can miss: defining what actually matters to you, and using that as the anchor when life pulls in other directions. For clients carrying trauma, I'm trained in EMDR and integrate it when it fits, with full transparency about what we're doing and why.

Treatment Methods

Dialectical

An evidence-informed therapeutic approach used by our providers. Ask your therapist how they integrate this method into your work together.

Solution-Focused

An evidence-informed therapeutic approach used by our providers. Ask your therapist how they integrate this method into your work together.

Behavior Therapy

An evidence-informed therapeutic approach used by our providers. Ask your therapist how they integrate this method into your work together.

Cognitive Behavioral Therapy (CBT)

CBT helps you identify thought patterns that contribute to anxiety, depression, and stress — then build skills to interrupt and change them. Highly effective and well-researched.

Dialectical Behavior Therapy (DBT)

DBT teaches concrete skills for managing intense emotions, navigating relationships, and tolerating distress. Originally developed for borderline personality disorder, now used broadly for emotional regulation.

Note: Each session is 60 minutes, whether it’s your first consult or an ongoing visit.

Insurance Accepted

Kaiser Permanente

Don’t see your plan? Call 909-295-5805 — we can verify your benefits.

Age Preferences

Adolescents (13-17)Young Adults (18-30)Middle Adulthood (30-64)

Clinical Focus

Adjustment IssuesAnger ManagementAnxietyBehavioral ProblemsCareer CounselingCoping SkillsDepressionDivorceDomestic ViolenceDual DiagnosisFamily ConflictGambling ProblemsGender Identity IssuesGrief and LossLife CoachingLife TransitionMartial/Pre-MaritalMood DisordersObsessive-Compulsive DisordersParentingPersonality DisordersPregnancy/PostpartumPTSDRelationship IssuesSchool ProblemsSelf EsteemSelf HarmingSexual AddictionSubstance use IssuesTrauma

Location

Sessions are offered via secure video. Available statewide across California.

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