About Carol-Ann
Carol-Ann Duncan-Dean is a Licensed Clinical Professional Counselor (LCPC) with twenty years of experience. She focuses on helping adults who are feeling overwhelmed by stress, anxiety, grief, relationship strain, intimacy concerns, or major life changes. Her style is steady and approachable, aimed at helping people take clear, manageable steps forward.
In sessions she uses practical tools drawn from Cognitive Behavioral Therapy (CBT) to identify unhelpful thoughts and build coping skills.
Background and approach
She also uses Narrative Therapy to help people reframe difficult stories about themselves and their relationships. Sessions move at a pace that feels right for each person, with space to notice small changes over time. Carol-Ann aims to create an environment that feels calm and grounded.
She listens for what matters most and helps clients set concrete goals. The focus is on skills and insights that can be used between sessions to reduce anxiety and handle stressful moments. Her work has developed over two decades in Maine, shaped by hands-on experience with common life transitions and losses.
She prefers straightforward conversation and clear tools that can be practiced in daily life. Many people come for immediate coping strategies as well as longer-term change. To begin, she asks about current struggles and what a better day looks like.
From there she and the client choose methods that fit the person’s needs and preferences. Progress is tracked with practical steps and regular check-ins to adjust the plan as needed.
How Carol-Ann uses CBT and Narrative Therapy online
Carol-Ann uses Cognitive Behavioral Therapy to help people notice unhelpful thinking patterns and learn skills to reduce anxiety and stress. CBT work often includes short exercises, thought records, and behavioral experiments that can be practiced between sessions to build confidence.She also draws on Narrative Therapy to help people rewrite troubling stories about themselves and their relationships. This approach focuses on separating the problem from the person and identifying alternative storylines that support healthier choices and improved intimacy.
Deciding which approach to use is a collaborative process. Carol-Ann talks with each person about their goals, daily routines, and what has or hasn’t helped in the past. Together they pick methods that fit the client’s needs and adjust as progress is made.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video calls are good for face-to-face conversation and guided exercises, phone sessions work well when bandwidth is limited, and messaging options let clients check in between meetings or choose shorter touchpoints. These formats let people fit therapy into busy schedules and keep work going even when travel or timing is difficult.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Grief
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Maine
- Languages
- English
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