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- Mindfulness based methods
- Acceptance based CBT
- Psychoeducation and coaching
About Stephanie
Stephanie Bigham, LCSW, is licensed in North Carolina and has 20 years of clinical experience. She focuses on stress, anxiety, relationship and family concerns, parenting, mood disorders, trauma and loss, and ADHD. Her stated approach blends mindfulness and acceptance-based cognitive behavioral methods with practical skill-building and education.
Stephanie uses mindfulness and acceptance-based CBT to help people notice thoughts and feelings without harsh self-judgment. She asks for active participation and collaborative work. Homework and psychoeducation are common parts of her process to build new coping strategies between sessions.
Her background includes work in a mental health clinic serving people with developmental delays, hospital and NICU settings, a respite program, private practice, and classroom roles. She earned a Bachelor of Arts from the University of Florida and a Master of Social Work from Florida International University. She also holds certification as a Supreme Court Certified Family Mediator.
Stephanie has experience outside traditional mental health roles, including time as a stay-at-home parent and substitute teaching for grades K-5. That range of work contributes to a practical perspective on family and parenting stress, blended family concerns, and caregiver burden.
She commonly addresses grief, depression, intimacy-related issues, anger, sleep difficulties, and career concerns. Additional focus areas include adoption and foster care, communication problems, divorce and separation, first responder issues, and infidelity. Stephanie describes her work as collaborative and task-focused, helping people develop awareness and actionable skills.
People who choose her practice can expect structured sessions that combine skill teaching, tracking thoughts and behaviors, and guided exercises. The goal is increased resilience and clearer ways to manage life changes and mood symptoms.
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How Stephanie applies ACT, CBT and DBT online
Stephanie uses Acceptance and Commitment Therapy to help people clarify personal values and practice willingness when painful thoughts or feelings arise; this approach supports work on anxiety, depression, and life transitions. Cognitive Behavioral Therapy is used to identify and change unhelpful thinking and behavior patterns, often with tracking exercises and homework to reduce symptoms like worry or low mood. Dialectical Behavior Therapy contributes skills for emotional regulation, distress tolerance, and improving interpersonal effectiveness when anger, relationship problems, or intense emotions are present.Choosing the right approach is part of the work together. She will discuss goals, preferences, and what methods feel most useful. Clients and the therapist decide collaboratively whether to emphasize ACT, CBT, DBT skills, or a mix of methods based on progress and needs.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit counseling into a workday, reduce travel time, and allow shorter check-ins when schedules are tight. The practical online benefits often include easier scheduling, consistent follow-up through assigned practice between sessions, and the ability to apply skills in day-to-day settings soon after learning them.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
North Carolina
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, relationship and family issues, parenting concerns, mood disorders, trauma and grief, ADHD, and related areas listed in her profile.
What therapeutic style does she use?
Her approach blends mindfulness, acceptance-based cognitive behavioral techniques, dialectical skills, narrative work, and solution-focused elements.
How much clinical experience does she have?
She has 20 years of experience working across clinics, hospitals, private practice, and educational settings.
Is she licensed and where?
She is a Licensed Clinical Social Worker with an NC LCSW license in North Carolina.
Which languages are offered?
Sessions are offered in English.
Does she work with international clients?
She is not currently accepting international clients.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin sessions?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, call 911, or call or text 988.