About Stephanie
Stephanie Bigham is a Licensed Clinical Social Worker (LCSW) based in North Carolina who focuses on practical, skills-based therapy. She uses clear explanations and hands-on strategies to help people manage stress and anxiety. Her style is collaborative and direct, and she asks clients to take an active role in the work.
Stephanie trained with a Master of Social Work degree and brings 20 years of experience across many settings. Her background includes hospital work, a mental health clinic for people with developmental delays, respite programs, and independent practice.
Background and approach
She has also worked in classrooms and been a full-time stay-at-home parent, which informs her flexible, real-world perspective. In sessions she blends mindfulness and acceptance ideas with cognitive behavioral techniques. She helps people notice thoughts and feelings, try small experiments, and practice new skills between meetings.
Homework and short exercises are common parts of the plan so progress can continue outside session time. Her main focus areas include stress, anxiety, depression, grief and relationship issues. She also supports people dealing with parenting challenges, family conflict, life transitions, career struggles, and motivation or self-confidence concerns.
Additional interests include adoption and foster care, blended family issues, caregiver stress, and first responder concerns. Stephanie emphasizes collaboration. She aims to create clear goals, teach coping tools, and help people build steady habits that reduce overwhelm and improve daily functioning.
Therapeutic approaches for online care
Stephanie commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in online sessions. Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them, and it helps when worry or avoidance gets in the way of living the life you value. Cognitive Behavioral Therapy (CBT) teaches specific skills to change unhelpful thinking patterns and behaviors, which can ease symptoms of anxiety, depression, and stress.Finding the right approach is part of the work. The therapist will talk with each person about goals and preferences, and then together they decide which techniques to try first. That collaborative process makes it easier to adjust methods as needs change.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for busy schedules. Video lets people use visual cues and longer conversations, phone calls use less bandwidth, and chat or text messaging can work for brief check-ins or skill practice between sessions. These options help fit therapy into work breaks, caregiving routines, or other everyday demands.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- ADHD
- Adoption and foster care
- Anger management
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Trauma and abuse
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- North Carolina
- Languages
- English
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