About Margo
Margo Arrowsmith is a licensed clinical social worker with forty years of practical experience. She helps people handle family conflict, grief, trauma, depression, and compassion fatigue. Her approach is flexible and practical, tuned to each person and situation.
She often supports adult children and their parents as they try to build more respectful, constructive relationships. She also helps people dealing with adoption and reunions between adoptees and birth parents. Margo draws on lessons from both professional work and personal caregiving experience, and she wrote a book about keeping a parent at home during long-term care.
Background and approach
Margo has a particular interest in working with women who are recovering from childhood abuse and with people addressing eating and food-related problems such as bulimia and overeating. She believes this work can happen at any age and has helped clients in later life resolve long-standing trauma. Creativity matters in her practice.
As a writer and an interfaith minister who has trained in spiritual direction and dream work, she helps people reconnect with creative pursuits like writing or painting when life circumstances have blocked them. She emphasizes boundaries while helping clients find realistic, workable steps. Margo is based in North Carolina and holds the North Carolina Licensed Clinical Social Worker credential, LCSW.
She adapts methods to fit each person and focuses on clear, usable strategies rather than one-size-fits-all solutions.
Practical approaches for online healing
Two evidence-informed ways she often draws on are trauma-focused care and structured work on eating-related behaviors. Trauma-focused care helps people safely process painful memories, notice how trauma affects daily life, and build new coping habits for anxiety and flashbacks. Work on eating-related behaviors focuses on patterns around food and urges, developing alternative coping strategies and practical routines to reduce bingeing or bulimic behaviors.Margo treats approach selection as a collaborative process. She talks with each person about goals, past experiences, and what has or hasn t helped before. Together they try methods for a few sessions and adjust plans to match real-life needs and preferences.
Online therapy formats include video calls, phone sessions, live chat, and text-based messaging, and each has practical benefits. Video calls allow face-to-face conversation and shared materials. Phone sessions use less bandwidth and can fit into a short break. Live chat and text messaging are useful for quick check-ins or skipping the camera on harder days. These options make it easier to plan therapy around work, caregiving, and travel while keeping the focus on steady progress.
Frequently asked questions
What concerns does Margo help with?
What is her therapeutic style like?
How much experience does she have?
What are her credentials and where is she located?
Which languages are sessions offered in?
What session formats does she offer online?
How does payment and cost work?
How do I begin working with her?
Specialties and expertise
Top specialties
- Family conflicts
- Trauma and abuse
- Grief
Also works with
- Experience
- 40 years
- Licensed
- North Carolina
- Languages
- English