Shirley Cayko is a Montana licensed clinical social worker with 18 years of experience. She helps people who are dealing with stress, anxiety, trauma, and problems with self-esteem. She aims to make the first step into therapy easier and more approachable for each person who reaches out.
Shirley uses straightforward conversation to learn what matters most to each client. She listens with respect and compassion and builds a plan around a person’s goals. That plan is adjusted over time so it fits real life and changing needs.
Her work often focuses on coping with life changes, grief, anger, and depression. She also supports people facing relationship strain, LGBT concerns, bipolar disorder, and the effects of abuse and trauma. Additional interests include caregiving stress, chronic illness, end-of-life concerns, immigration issues, and communication problems.
Shirley draws on client-centered approaches, cognitive behavioral tools, dialectical behavior strategies, existential ideas, and mindfulness practices. In sessions she helps people practice new skills, rethink unhelpful thoughts, and notice patterns that get in the way of daily life.
She tailors the pace and techniques to each person. That can mean short-term work for a specific problem or longer conversations that address deeper issues. People who reach out can expect a practical, down-to-earth approach that respects their experience.
How client-centered and skills-based approaches work online
Client-centered therapy focuses on understanding each person's concerns and goals. The therapist listens closely and follows the client's lead, helping people feel heard and respected while working toward change.
Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and behavior. It uses practical exercises and simple experiments to reduce anxiety, boost mood, and improve self-esteem.
Dialectical Behavior Therapy, or DBT, brings concrete skills for managing intense emotions and improving relationships. It teaches techniques for emotional regulation, distress tolerance, and clearer communication.
Finding the right approach is part of the work. Shirley will collaborate with the client to choose or adapt methods based on needs, goals, and personal preferences. That means trying things, checking what helps, and shifting course when needed.
Please confirm current session options before booking, as formats are not listed here. Online therapy can make it easier to fit sessions into busy schedules, reduce travel time, and allow follow-up conversations between in-person visits. Ask about available formats when you schedule so sessions match your daily routine and technical needs.
Aging and geriatric issuesAvoidant personalityCancerCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsDissociationDivorce and separationEmptinessFamily problemsGender dysphoriaGuilt and shameHospice and end-of-life counselingImmigration issuesInfidelityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsPanic disorder and panic attacksParanoiaPostpartum depressionPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmWorkplace issues
Therapeutic approaches
Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyTrauma-Focused TherapyInternal Family Systems
Experience
18+ years
Credentials
Montana
Languages
English
Frequently asked questions
What concerns does Shirley commonly address?
She helps people with stress, anxiety, trauma and abuse, self esteem, coping with life changes, relationship problems, grief, anger, bipolar disorder, and depression.
What is Shirley's general therapy style?
She takes a client-centered, down-to-earth approach that mixes listening with practical skills training and thought work to meet individual goals.
How much clinical experience does she have?
Shirley has worked in the field for 18 years and brings that experience to sessions when helping clients navigate difficult issues.
What credentials and location are listed for this therapist?
She holds the credential MT LCSW and is licensed in Montana.
Which languages are supported for sessions?
Sessions are offered in English only.
Can international clients work with this therapist?
International clients are not currently accepted.
How are fees and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin therapy with Shirley?
Choose the continue button on this profile, complete a short matching questionnaire, and schedule a session according to the therapist's availability.