Carolina Dolan-Dominguez
LCSW (she/her) · Bilingual Therapist in Missouri & Illinois
English & Spanish
Not broken. Just stretched past what you were given tools for.
Online therapy in English and Spanish for teens 16+, young adults, college students, and parents · Evening and Sunday availability · In-network with most major insurance plans
Who I Work With
Everyone else seems to have a system. You have chaos, and from the outside, you still look fine. Maybe your grades are still B's, so nobody around you thinks anything is wrong. Maybe you're the one who translates everything for your family: paperwork, doctor's visits, the emotional weight nobody else carries. Maybe you're not in crisis. You just don't recognize who you are right now, and that feels like it shouldn't count enough to ask for help. Or maybe you're the first person in your family to do any of this: succeeding by every measure anyone can see, and still guessing.
I work with teens 16 and up, college students, and young adults who are in the middle of becoming and finding that harder than they expected. Anxiety, ADHD, burnout, depression, identity questions, life transitions: often it's not just one thing. It's everything at once.
Many of my clients are bicultural or first-generation, moving between worlds and figuring out where they fit. Others are immigrants and refugees navigating the emotional weight of displacement, cultural adjustment, and building a new life while holding onto where they came from.
I also work with parents who need support staying grounded while showing up for their child, and with new and expecting moms. I have training in perinatal and postpartum mental health, and I offer joint parent-and-teen sessions when it helps to work on things together. More about support for moms and parents →
Whatever brought you here, this is a space where all of it belongs.
I see clients online anywhere in Missouri and Illinois, including St. Louis, Kansas City, Columbia, Chicago and the suburbs, Springfield, and Champaign.
My Approach
I'm not going to ask how that makes you feel and leave it there. We dig in: what's driving it, what's keeping it stuck, and what actually helps. Therapy with me is collaborative, direct, and warm, the kind of space where you can actually exhale.
I'm trained in CBT, DBT, ACT, and solution-focused therapy, with specialized training in Trauma-Focused CBT (TF-CBT) and ADHD. That means you get a therapist who knows how to work with trauma and ADHD, not just someone who's familiar with them. But the tools only work if the relationship does. What matters most is what we build together.
Sessions are grounded and get to the point, but there's room to laugh, to breathe, and to show up exactly as you are. You'll leave with a clearer sense of yourself and a concrete next step, not just a good conversation.
Over time, the fog lifts. Deadlines stop feeling impossible. You catch yourself feeling like you again: not fixed, just clearer.
En español. Hablo español de forma nativa. Si prefieres hacer terapia en español, o mezclar los dos idiomas, aquà no tienes que traducirte. Terapia en español →
Areas of Focus
Anxiety | ADHD and executive functioning | Burnout and chronic stress | Depression
Trauma and PTSD | Neurodivergence | Identity and self-esteem | Cultural and bicultural identity
Therapy in Spanish | Immigrants and refugees | College student mental health | Academic stress and perfectionism
Parenting support | Perinatal and postpartum support | Anger | Life transitions | LGBTQ+ affirming care
Tap a topic to learn more
Why Clients Choose Carolina
Collaborative
Therapy isn't something done to you. We'll work together to understand what's happening, set goals that matter to you, and move at a pace that feels right.
Culturally Responsive
Whether you're bilingual, bicultural, first-generation, or navigating life between cultures, every part of your experience is welcome here without needing to explain or translate yourself.
Evidence-Based
I draw from CBT, DBT, ACT, TF-CBT, and ADHD-informed strategies to give you practical tools that support lasting change, not just temporary relief.
Warm & Genuine
You don't have to have the right words before you show up. Sessions are grounded, supportive, and real with space to laugh, process, and simply be yourself.
Credentials & Licensure
Carolina Dolan-Dominguez, LCSW
Licensed Clinical Social Worker, Missouri #2022036999
Licensed Clinical Social Worker, Illinois #149.031230
Master of Social Work, Loyola University Chicago
Specialized training: Trauma-Focused Cognitive Behavioral Therapy 2.0 (Medical University of South Carolina), ADHD-informed practice, perinatal and postpartum mental health
Practicing since 2019
Languages: English and Spanish (native)
Sessions: online by secure video, for clients in Missouri and Illinois
Availability: Monday to Thursday 5 to 9 PM, Friday 8 AM to 6 PM, Sunday 8 AM to 6 PM
Insurance: in-network with most major insurance plans. Superbills are available.
Common Questions
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Yes. Sessions can be fully in Spanish, fully in English, or a mix. Parents can also get updates and support in Spanish.
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Yes, teens 16 and up. For clients under 18, a parent or guardian is involved in scheduling and consent.
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Yes. I offer joint parent-and-teen sessions when working on things together helps, alongside individual sessions.
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That's a common starting point. For adults 18 and up, I can assess for ADHD and provide a diagnosis as part of treatment planning, along with letters based on that diagnosis. For teens under 18, or if you need a full evaluation, I'll help you find formal psychological testing, since CLS doesn't offer it. In the meantime, we can work on what's getting in your way now.
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Yes. I'm in-network with most major plans, and superbills are available for out-of-network reimbursement. See rates and insurance details →
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It depends on what you're working on, but the goal is never to keep you in therapy forever. Most people start weekly or every other week, then space sessions out to every few weeks and eventually monthly check-ins as things get easier. I’ll review progress with you regularly.
Ready to get started?
You don't have to have it all figured out before you reach out.
Start with a free 15-minute consultation or chat. No paperwork, no commitment, just a real conversation to see if we're a good fit.
