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LCSW

Stephanie Bigham, LCSW

  • Experience20 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT)
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About Stephanie

Stephanie Bigham brings a mindfulness-informed, acceptance-based approach to therapy that emphasizes practical skills and collaborative problem solving.

Background and approach

With 20 years of clinical experience as an LCSW in North Carolina, she guides clients to notice patterns in thoughts and emotions and to build resilience through structured techniques and reflective practice. Stephanie blends cognitive behavioral strategies with acceptance principles so clients can reduce distress by changing thinking habits and increasing psychological flexibility.

She draws on a broad professional background that includes work in mental health clinics serving individuals with developmental delays, hospital and NICU settings, respite programs, classroom and substitute teaching roles, and independent practice. That varied experience shapes a pragmatic, psycho-educational style that often includes active participation and between-session practice.

Areas of focus include stress and anxiety, depression and grief, relationship and family conflict, parenting and divorce-related concerns, career challenges, and ADHD among other life stressors. Stephanie encourages a collaborative therapeutic relationship, offering structured guidance and homework to help clients develop new coping skills.

Her approach centers on helping people accept what cannot be changed while taking concrete steps toward valued goals and improved daily functioning.

Using Acceptance, CBT, and Mindfulness Online

Stephanie integrates Acceptance and Commitment Therapy, cognitive behavioral techniques, and mindfulness practices into online care, explaining each approach in clear terms and applying them to everyday problems. Acceptance and Commitment Therapy (ACT) helps clients clarify values and take purposeful action while learning to live with difficult thoughts or feelings rather than struggling with them, which can be helpful for people facing life transitions or persistent worry. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing new responses through structured exercises, often benefiting those with anxiety, depression, or stress-related symptoms. Mindfulness practice teaches present-moment awareness and nonjudgmental observation of internal experiences, supporting emotional regulation and reducing reactivity.

Finding the right mix of methods is part of the collaborative process; the therapist works with each person to determine which approaches fit their goals, preferences, and specific concerns. Sessions may begin with an assessment of needs and then adapt techniques over time so interventions remain practical and aligned with what the client wants to accomplish.

Offering video calls, phone sessions, live chat, and text-based messaging, online therapy provides flexibility for different schedules and communication styles. These formats make it easier to maintain regular contact, practice skills between sessions, and access licensed professionals from home or work without travel, supporting consistent progress and convenience for clients seeking ongoing support.

Frequently asked questions

What concerns does Stephanie commonly address?
She works with a wide range of issues including stress, anxiety, depression, grief, relationship and family conflict, parenting challenges, career difficulties, and ADHD among other mood and life transition concerns.
What therapeutic style can I expect in sessions?
The approach combines acceptance-based and cognitive behavioral techniques with mindfulness and psycho-education, focusing on skill building, self-awareness, and collaborative problem solving.
How much clinical experience does she have?
The clinician has two decades of professional experience working across settings such as clinics, hospitals, respite programs, classrooms, and independent practice.
What are her credentials and where is she based?
She is an LCSW licensed in North Carolina with license number NC LCSW C005409 and practices from that state.
In what language are sessions offered and can international clients join?
Sessions are offered in English, and she is not accepting international clients at this time.
Which session formats are available for remote work?
Care is provided via video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.
How are fees and subscriptions handled?
Cost varies with location and therapist availability and sessions are delivered through a subscription that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsParenting issuesSelf esteem

Also works with

LGBTTrauma and abuseGriefIntimacy-related issuesSleeping disordersAnger managementCareer difficultiesBipolar disorderDepressionCoping with life changesCoachingADHD

Additional focus areas

Adoption and foster careBlended family issuesCaregiver issues and stressCommunication problemsControl issuesCoping with natural or human-caused disasterDivorce and separationFamily problemsFirst responder issuesForgivenessGuilt and shameInfidelityIsolation / lonelinessLife purposeMood disordersPanic disorder and panic attacksPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-loveWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyNarrative TherapySolution-Focused Therapy

Experience

20+ years

Licensed

North Carolina

Languages

English

What Stephanie can help with

Stephanie Bigham works with clients on stress and anxiety, relationship issues, family conflicts, parenting issues, and self esteem.

Stephanie works with Stress/Anxiety, Parenting Issues, Family Conflict, and Relationship / Divorce Issues.

How Stephanie approaches therapy

Stephanie's clinical approaches include Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Narrative Therapy, and Solution-Focused Therapy.

Experience and training

Stephanie is a Licensed Clinical Social Worker practicing in North Carolina, with 20 years of clinical experience.