Shirley Cayko, LCSW
- Stress and anxiety support
- CBT and DBT techniques
- Teletherapy options available
About Shirley Cayko
As a Licensed Clinical Social Worker - LCSW - Shirley combines clinical training with a focus on respect and sensitivity, adapting conversations and treatment plans to the specific concerns and goals of each person she works with. Her practice emphasizes individualized care that meets clients where they are, whether they are addressing relationship strain, grief, anger, mood concerns, or identity-related issues.
Shirley has worked across a broad range of concerns including LGBT issues, caregiving stress, chronic illness and pain, and end-of-life counseling. She also supports clients facing divorce, communication problems, dissociation, and other complex life challenges. Her aim is to create a collaborative space for growth and resilience.
Recognizing that beginning therapy can require courage, Shirley honors that first step and works collaboratively to tailor treatment so that it aligns with each client’s values and needs.
Areas of Expertise
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Shirley Cayko have?
Shirley Cayko has 18 years of professional experience.
Is Shirley Cayko a licensed therapist?
Yes. She holds the credential LCSW, which stands for Licensed Clinical Social Worker. License details are MT LCSW BBH-LCSW-LIC-803.
In which languages does Shirley Cayko provide therapy?
Shirley Cayko provides therapy in English.
Where is Shirley Cayko located?
Shirley Cayko is located in Montana.
How can I work with Shirley Cayko as my therapist?
You can work with Shirley Cayko through video calls, phone sessions, live chat, or text-based messaging.
Does Shirley Cayko work with international clients?
Shirley Cayko does not currently work with international clients.
How much does therapy with Shirley Cayko cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Approaches and Online Care
Shirley Cayko draws on client-centered therapy to build a collaborative relationship in which the client’s perspective guides the work; this approach helps people feel heard and supports exploration of personal values, identity, and goals. Cognitive Behavioral Therapy, or CBT, is used to identify and change unhelpful thought patterns and behaviors, making it useful for anxiety, depression, and stress-related concerns. Dialectical Behavior Therapy, or DBT, teaches practical skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can help with intense emotions and relationship challenges.Finding the best therapeutic approach is part of the process, and Shirley works together with clients to determine which strategies fit their needs, goals, and preferences. That collaborative process often blends techniques from different approaches to create a tailored plan.
Online therapy with Shirley is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for scheduling and access from home or on the go. These options make it easier to maintain continuity of care around work, caregiving, or mobility limitations, while allowing therapists and clients to focus on meaningful progress.