Pebble & Pine Therapy
Grounded Growth in Nature's Rhythm

Therapy that feels like a forest trail—steady, rooted, and always moving toward light. Professional counseling services to help you flourish.

Note: New appointments available for fall 2025.

Meet Caroline

Caroline Ciesko, M.Ed., M.A.

License number: MC61666662 (supervised by Sarah Dochow LH60498747)

National Certified Counselor (NCC) Certified Trauma Professional (Level 2) Anxiety Informed Professional Psychology Today Profile

Welcome to my practice! I'm Caroline, founder of Pebble & Pine Therapy. With a Master's in Education and over a decade of experience guiding adolescents, adults, and families, I blend evidence-based approaches with genuine, down-to-earth conversation.

My practice is inspired by the resilience of nature: pebbles shaped by gentle waves, pines reaching steadily skyward. Just as the Pacific Northwest landscape transforms through seasons, we too can cultivate insight, resilience, and meaningful change.

Together, we'll navigate your path to healing—one intentional step at a time.

Caroline Ciesko – Licensed Professional Counselor

Therapeutic Terrain

The landscapes we'll explore together on your journey to wellness

I offer a warm, supportive space where every part of you is welcome. Using a trauma-informed approach, I draw from parts work, ACT, DBT, and EMDR-informed care to gently explore your experiences, build coping tools, and reconnect you with what matters most.

Trauma

We'll move gently at your pace, using trauma-informed care, EMDR, and parts work to help every part of you feel safer and more at ease.

Grief & Loss

With a compassionate, ACT-based approach, we'll honor your loss while also creating space for healing and renewal.

Adolescent Support

In a safe, judgment-free space, I use DBT skills and creative tools to help teens manage emotions and feel more in control.

Step Onto the Path

Every journey begins with a single step. At Pebble & Pine, that step is supported—steady as stone, rooted as pine—so you don't have to walk it alone.

The Process

1
Free Consultation

Start with a 15-minute call to connect, ask questions, and sense if this path feels right for you.

2
Intake Paperwork

Simple forms that help us understand your needs and prepare for meaningful work together.

3
First Session

In our first session, we'll map out your goals and set a clear direction for your journey.

4
Ongoing Therapy

Consistent, 50-minute sessions that provide structure, support, and momentum for lasting change.

Key Information

Cost
$150 per session (private pay). Sliding scale available through Open Path.
Who I See
Adolescents (11+), adults, and older adults.
Session Type
Online (telehealth)—accessible, flexible, and private.
Availability
Currently welcoming new clients.
Specializations
Trauma, grief, self-harm.
Support For
Life transitions, anxiety, depression, stress management, relationships, and emotional wellbeing.

The path is yours to choose. If you're ready to steady your steps and move toward growth, let's begin.

Connect Under the Pines

Questions about our services? Ready to start your therapeutic journey? We're here to help.

info@pebbleandpinetherapy.com