Casey Machado, LPC

Casey Machado is a Licensed Professional Counselor (LPC) based in Oklahoma with 19 years of clinical experience. She centers sessions on practical problem solving and clear steps the client can try between meetings. Casey speaks plainly and works to create space where people can name what feels hard and figure out what to try next.

Her approach emphasizes Cognitive Behavioral Therapy, using straightforward tools to notice thoughts, test assumptions, and make small behavior changes. She helps people manage symptoms like anxiety, stress, depression, sleep or eating problems, and anger by breaking issues into manageable pieces. Work often includes short exercises, tracking patterns, and practicing different responses outside sessions.

Casey also focuses on relationship and family concerns as they affect individuals, including communication problems, commitment worries, blended family challenges, and intimacy-related issues. She supports people coping with grief, life transitions, caregiving strain, and compassion fatigue by helping them clarify priorities and rebuild routines. Career stress, self-esteem struggles, and ADHD-related challenges are addressed with the same practical mindset.

People looking for someone who uses clear, goal-oriented conversations may find her style helpful. She respects each person's knowledge of their life and partners with them to test small changes. Casey aims to make therapy a practical, step-by-step process that fits into daily life.

Her work is conducted in English and offered through formats that include video calls, phone sessions, live chat, and text-based messaging. Prospective clients choose a plan, complete a brief questionnaire, and schedule sessions according to the listed process.

How CBT and online sessions work together

Casey uses Cognitive Behavioral Therapy (CBT) techniques to help people spot unhelpful thoughts and try new behaviors. CBT sessions usually involve identifying patterns, testing small experiments, and practicing skills between appointments to reduce anxiety, depression, or stress-related symptoms.

The right approach is decided together. Casey will talk with each person about their goals, preferences, and what has or hasn't helped before. That collaborative process guides whether CBT exercises, behavioral tasks, or practical problem solving will be the main focus.

Online options include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video calls allow face-to-face conversations for skill practice and guided exercises. Phone sessions are useful when bandwidth is limited or a quieter check-in is needed. Live chat and text-based messaging work well for brief check-ins, tracking progress, or getting support between longer sessions. These formats make it easier to fit therapy into work, family life, or other routines while keeping the focus on concrete steps and real-world practice.