Find a licensed online therapist in West Jefferson, NC

As a licensed therapist in North Carolina, I bring nearly three decades of compassionate clinical experience to supporting individuals through life's complex challenges. My practice centers on creating affirming, inclusive spaces for exploring personal growth, particularly for LGBTQ+ individuals, those navigating relationship dynamics, and people experiencing mood-related difficulties. My therapeutic approach is deeply rooted in understanding each person's unique journey. I specialize in addressing depression, anxiety, addiction recovery, sexuality, exploration, and personal empowerment. With expertise in supporting diverse relationship structures and identities, I help clients develop self-love, clarify life purpose, and heal from family dynamics. I'm committed to providing a non-judgmental, progressive environment where individuals can authentically explore their emotional landscape, build resilience, and create meaningful personal transformation. Whether you're working through life challenges, relationship patterns, or seeking deeper self-understanding, I'm dedicated to walking alongside you with empathy and professional insight.

I am a licensed clinical social worker with over 15 years of experience in helping people find solutions to their problems. Over the years, I have been told by clients that they really feel that I am listening to them and trying to understand what is going on in their lives and how they feel. Clients have also told me that they do not feel any sense of judgment, but rather that I accept them for who they are and where they are in their life’s journey. My style is empathetic and solution focused. I will spend time asking you questions in order to get to know you and try to find out what is at the heart of your issue. Together, we will talk about possible avenues you may want to take, or changes you may want to consider. I may give you some “homework” assignments…things to write out or think about, worksheets to complete, or even techniques/exercises to practice in your own time so that some of what we discuss in our sessions is reinforced. Most of all, I will be an objective listener, helping you to gain insight into what is going on with you, so that you are able to make the choices and changes you want to, in your own time. I look forward to working with you!

Hello, my name is Karen Kavaloski and I am a LPC in New Mexico, North Carolina and in Missouri. I was originally licensed as a counselor in 2009 while working in Arizona by the State of North Carolina after making a career change from a almost 30 year history in nursing. My passion since I was a young adult was counseling and it took me almost 30 years to achieve my goal of becoming a counselor. I was a Marine wife for almost 30 years and have traveled allot, I have 3 children and 5 grandchildren. My youngest, a son, and one of my grandchildren are severely autistic so I can identify with the stress and struggles some families have with managing special needs within their family. I am also a cancer survivor. I believe we all have an ability to heal the body, mind and soul and I consciously strive daily to be an active participant in my life and support and encourage others to do the same. My education beyond my nursing and counseling includes a Masters in Business Administration and a Doctorate in (Christian) Ministries. I have worked primarily over this past 17 years with trauma and substance abuse in the adult population with about 3 years working with the teenage population in these areas. I also have worked about 5 years total with prison reentry and counseling individuals and families with histories of incarceration in state and federal prison. I believe in working with individuals and families to achieve their highest goals. I believe the client is the expert in his/her own life and I fully encourage one to strive to work towards building a strong foundation within themselves and their families whatever that looks like to them, to that end I use focused solution therapy, internal systems therapy, mindfulness/compassion therapy, cognitive and cognitive behavioral, dialectical therapy, emotional freedom techniques and/or neurolinguistic techniques . I am also the author and publisher self help books under my Sacred Self Workbook Series Outside my therapy practice, I spend my leisure time reading. meditation/praying and gardening. I do light exercise daily.

Congratulations You have taken the first step to recovery! Taking that step to ask for support to help when you are dealing with difficulties is a brave one. I am an North Carolina-based, Licensed Clinical Mental Health Supervisor, Certified Clinical Supervisor for Substance Abuse with nearly 20 years’ experience working with trauma, substance abuse, and addiction. Often, co-occurring issues include: depression, anxiety, panic attacks, bi-polar disorder, post traumatic stress disorder (PTSD), obsessive compulsive behaviors, and, of course, relationship challenges. My experience includes individual, couples and group therapy in residential and outpatient settings of a Community Mental Health Center and a private addiction mental health and substance abuse treatment facility. I would describe my approach to therapy as eclectic, as it depends on the client's needs and goal for treatment .The modalities that have proven and I have the most experience in are : Cognitive Behavioral Therapy (CBT), Solution Focused Therapy , Mindfulness-based Therapy, Motivational , and Eye Movement Desensitization and Reprocessing (EMDR). I believe in a strong therapeutic relationship to support the client to facilitate the change they are looking for. I hope I can help you with this journey.

I am a licensed clinical mental health counselor in the state of North Carolina. I having been working in this field for over 25 years. I am fortunate to have been afforded the opportunity to work in a variety of settings. These settings include substance abuse treatment, mental health crises, domestic violence, critical incidences, youth corrections, individual, couples and family counseling. I have worked with clients who have had issues with depression, anxiety, stress and psychsocial problems. While I have benefitted greatly from these experiences, I believe myself to be most effective in individual counseling. I have taken the benefit of all these experiences and combined them to be the best counselor I can be. No matter the initial presentation of my clients, their issues tend to fall into one or more of the areas of my experience. As a therapist, my theoretical approaches tend to be solution focused, reality based with an emphasis on how my client views him or herself and the world around them. I believe we all make decisions and exhibit individual behaviors based on what we perceive is happening to us and the world around us. My goal is to help my clients determine if their beliefs, as well as their actions, are helping them be the best they can be. In addition to that, I work to ensure that my clients have the emotional tools they need to appropriately and effectively manage the emotional ups and downs of life. As I see it, life is "a continuum of temporary circumstances that we all must navigate the best we can with the skills we have". My calling is to serve others, with the hope that I can contribute in some way to helping them make their lives better..

I am a licensed mental health counselor supervisor in the state of North Carolina with 27 years of experience. I received my counseling LPC license in 1998 and my Licensed Clinical Mental Health Counselor Supervisor license in 2011. I received my Masters in Counseling degree from Webster University in 1997. I have worked in the counseling field since 1995. My experience includes working as a counselor in an adult women’s inpatient unit specializing in eating disorders, personality disorders , psychotic disorders and PTSD. I have maintained a private practice since 1998 working primarily with adults, families and couples . I was a therapist at a county mental health facility and worked with adolescents in a school setting before becoming a therapist at a Residential Healing Farm from 2005-2018. I worked with adults who presented with a broad range of emotional health conditions and diagnosis at this facility. Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Prolonged Exposure Therapy for PTSD, EMDR, Solution focused Therapy and Acceptance and Commitment Therapy are among the modalities used when working with clients. I have maintained a private practice since 1998. My therapy style is to meet you where you are now , and together work towards solutions and empowerment. I look forward to working with you ! Professional Disclosure statement I am a Licensed Clinical Mental Health Counselor Supervisor in the state of North Carolina #S3220. I received my LPC license from the NC Board of Licensed Professional Counselors in November 1998 and my LCMHCS in 2011. I received my Masters Degree in Counseling from Webster University in Greenville, S. C in 1997. I also hold a B.F.A, degree from the University of Denver, 1974. I have worked in the counseling profession since March 1995. My experience includes working as a counselor for adult women in an inpatient psychiatric unit specializing in clients presenting with eating disorders, personality disorder, psychotic disorder and other clinical presentations. I was employed as a child and adolescent therapist at Park Ridge Hospital with responsibilities that included family, individual, group and conjoint counseling. I co-facilitated a group for at risk adolescents through the Juvenile Crime Prevention Council for four years and facilitated a weekly group for the same population at the Polk County High School for 4 years. I was employed as a therapist for Rutherford/Polk Mental Health from 2001 through 2004. My responsibilities included individual, group, and family therapy, along with assessments and crisis intervention. After the N. C. mental health reform in April 2004, I began to work with New Vistas Behavioral Services where I was employed as a therapist working children, adolescents and adults in their community location, as well as in the local High School. I was employed by Cooperriis Healing Community in Mill Spring, N.C. From 2005 until the end of 2018. I worked as a psychotherapist for adults with serious and persistent mental illness in their farm and community programs. CBT, DBT, solution focused therapy, prolonged exposure therapy, ACT, EMDR, animal assisted therapy and behavior therapy were all modalities incorporated into my work with clients. I have maintained a small private practice in Mill Spring since 1998. I work with individuals, families, couples and facilitate group process sessions. My private practice is located on my farm at 2419 Silver Creek Rd. Mill Spring, N.C. I also provide animal assisted therapy to private clients who are appropriate for this therapy. Use of diagnosis: Some health insurance companies will reimburse clients for counseling services and some will not. Most will require a diagnosis of a mental-health condition and indicate that you must have an “illness” before they will agree to reimburse you. Some conditions for which people seek counseling do not qualify for reimbursement. We will discuss the use of diagnosis and if/when submitted to your insurance company it will become a part of your permanent insurance records. I began working with BetterHelp as an online therapist in October 2021. All billing and scheduling is handled through the BetterHelp platform. Diagnosis is not used as a tool in this format and clients must agree to use 911 for emergencies as this is not a platform to be used for crisis intervention. All billing is handled through their organization. Some other telehealth organizations will require a diagnosis and will bill insurance. Private practice sessions are usually 50-60 minutes. Cost varies between individual and family conjoint sessions. I provide phone sessions for clients who live out of the area. These sessions are generally 30-45 minutes in length. Use of a diagnosis will be discussed and can be used as a road map for treatment in my private practice if on a self – pay basis. I will keep confidential anything you say as part of our counseling relationship with the following exceptions: You direct me in writing to disclose information to someone else, it is determined you are a danger to yourself or others, or I am ordered by a court to disclose information. Although clients are encouraged to discuss any concerns with me first, you may file a complaint against me with the organization below should you feel I am in violation of any of these codes of ethics. I abide by the ACA code of Ethics (http;//www.counseling.org/Resources/ac/a-code-of-ethics.pdf) North Carolina Board of Licensed Clinical Mental Health Counselors P.O. Box 77819 Greensboro, N.C. 27417 844-622-3572 or 336-217-6007 email: complaints@ncblcmhc.org we agree to these terms signature of LCMHCS________________________ date____________

As a licensed therapist in North Carolina, I specialize in supporting individuals through life's complex challenges. My practice centers on empowering clients to navigate depression, anxiety, stress, and significant life transitions with compassion and understanding. With extensive experience working with diverse populations, I offer culturally responsive care that honors each person's unique identity and lived experience. My approach is particularly attuned to women's issues, family dynamics, communication challenges, and multicultural concerns. I bring deep expertise in helping clients build self-esteem, develop healthy coping strategies, and work through difficult experiences such as divorce, caregiving stress, and personal transformations. My therapeutic style is warm, collaborative, and focused on supporting your individual journey toward healing and personal growth. Drawing from evidence-based practices, I create a supportive environment where you can explore your challenges, develop resilience, and cultivate meaningful change. Whether you're struggling with addiction, relationship issues, or navigating significant life transitions, I'm committed to walking alongside you with empathy and professional guidance.

My name is Tracy Lewis.-Smith. I have been practicing for over twenty years. I have a master's degree in Social Work. I am also a Certified Integrative Health Coach. I enjoy working to help people improve their lives. My favorite treatment approaches are Client Centered Therapy and Cognitive Behavioral Therapy. Clients often know what they need. They just need someone to guide them to. In this approach, you act as an equal partner in the therapy process, while your therapist remains non-directive and not past judgments on your feelings. The therapist help guide clients to grow psychologically, become more self-aware, and change their behavior via self-direction. The Cognitive Behavioral Therapy-based approaches are designed to help clients deal with anxiety, stress and depression by teaching them how to develop their skills needed to stop negative or unhelpful thoughts and start thinking, feeling and behaving in more positive ways. I look forward to working with you to guide you to become a better you!

I am a licensed clinical social worker (LCSW) working with individual, couples and families for over 31 years in North Carolina. Additionally, I hold a certificate in coaching which allows me to address employment issues, work-life balance needs and life coaching when needed. My practice has allowed me to help and support positive change for many people facing life's most challenging experiences. I work with a wide range of issues including depression, anxiety, relationship issues, communication and grief and loss on many levels. I believe in a positive and affirming approach to therapy. I am open-minded, warm and fully believe my clients have great value and opportunity for growth, change and improved perspective when taking advantage of what therapy has to offer. My approach combines cognitive-behavioral, psychodynamic and solution-focused therapy. I believe through my work, using compassion, education and motivational techniques I can help you improve mood, circumstances and self-awareness for better health and life satisfaction. Providing a safe emotional space for my clients to process their concerns is paramount to me. Understanding what you want and using an interactive, sensitive and caring approach is my goal to supporting you as you reach your goals. The first steps toward change is understanding the need and seeking support. I am here for you and look forward to having the opportunity to provide you with a supportive therapeutic experience that is empowering and beneficial.

Welcome! If you're looking for support with difficult feelings or challenges in your life then you're in the right place. Life can be really hard. Big plans fall through, relationships breakup, connection in marriage dissolves, family conflict erupts, cycles of anxiety and depression amplify, questions of personal fulfillment pop up, trauma happens... Sometimes figuring out how to get through difficult experiences feels impossible on our own. When we're struggling with something, talking about it helps. That's what I do. I talk with you about whatever you need to talk about. While we talk, I listen and ask questions to understand who you are, what your experience has been like, and what's important to you. We identify and process the roots of the problem that you're going through. And I support you in strategizing how to move forward with your life in ways that are in alignment with your wellbeing. I provide feedback about tools and skills for mental health and self-growth as needed. I believe that people are capable and that everyone deserves to feel respected and heard. Our capabilities get foggy and uncertain when we're emotionally stressed. Let me help clear away the fog so you feel more confident in what to do next. Therapy with me usually takes 1-3 months for clients to feel relief and resolution from their initial issues. I am a licensed clinical social worker in North Carolina with 10 years of experience as a counselor and mediator. I have education, training, and experience in a variety of therapeutic approaches including solution focused, narrative, cognitive behavioral, mindfulness, and trauma informed therapies. I tailor my approach according to each client's unique goals and needs. My job as your therapist is to empower your strengths and support your wellbeing through whatever challenge life presents. If you're ready, let’s get started!

I am licensed in New Mexico, North Carolina and South Carolina with 23 years of professional work experience. I have experience in helping clients with stress, anxiety, coping with grief, coping with loss, depression, & coping with life changes. I also have experience working with compassion fatigue. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

As a licensed therapist in North Carolina, I specialize in supporting individuals navigating complex emotional landscapes. My approach centers on creating a compassionate, non-judgmental space where clients can explore personal challenges, from anxiety and family conflicts to life transitions and interpersonal dynamics. I bring a depth of understanding to issues like social anxiety, relationship struggles, self-esteem, and personal growth. My therapeutic work focuses on helping clients develop stronger communication skills, process grief, and cultivate self-compassion. I'm particularly attuned to the unique experiences of young adults, men, women, and individuals exploring identity, sexuality, and personal purpose. My practice is grounded in evidence-based techniques that honor each person's individual journey. I'm committed to walking alongside clients as they work through challenging emotions, build resilience, and create meaningful change in their lives. Whether you're dealing with workplace stress, relationship difficulties, or seeking deeper self-understanding, I'm here to support you with empathy and professional expertise.

As a bilingual (English/Spanish) Licensed Clinical Mental Health Counselor, I provide compassionate and culturally aware therapy for adults, adolescents, and children. My goal is to make you feel seen, heard, and understood as we work together to create positive change. I specialize in helping clients navigate anxiety, depression, substance use issues, grief, and major life transitions. My approach is warm and collaborative, rooted in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI). I am deeply committed to supporting both English- and Spanish-speaking clients. Whether you’re navigating daily stress or working toward recovery, I’m here to equip you with the skills and confidence to navigate life independently. Let's walk forward together.

I have been providing therapy for eight years. in N.orth Carolina. My main focus has been addressing trauma. I am very solution focused. Assisting you with identifying and prioritizing the issues that are affecting your day to day life is an important first step. We will work together to formulate ways to address those concerns and get you back to your optimal functioning.