About Therese
Therese Middleton is a licensed clinical social worker who focuses on practical, evidence-based support for stress, anxiety, trauma, and self-esteem concerns. She brings seven years of professional experience and a calm, respectful presence to conversations about difficult topics. Therese works in North Carolina and is licensed in both North Carolina and Virginia as an LCSW.
Therese helps people cope with life changes and the wear of compassion fatigue. She also supports those facing issues connected to adoption and foster care, fertility and pregnancy challenges, postpartum depression, and immigration stresses.
Background and approach
Her work includes concerns about body image, workplace strain, and navigating young adult transitions. Sessions are shaped to each person’s needs. Therese listens first, then helps map small, manageable steps forward.
Treatment plans are tailored so conversations match real-life goals and rhythms. She uses practical techniques drawn from evidence-based therapeutic methods to address trauma and anxiety. The focus is on skills you can use between sessions to reduce symptoms and build confidence.
Therese understands taking the first step can be hard. She aims to make starting therapy straightforward and supportive, meeting people where they are and helping them find workable ways to feel better.
Evidence-based approaches and online care
Therese draws on evidence-based therapeutic techniques that focus on practical skills and trauma-informed care. Skill-based work teaches concrete coping tools for anxiety and stress, like grounding exercises and step-by-step problem solving to use between sessions. Trauma-informed methods help people safely process painful experiences while building safety and day-to-day functioning.Finding the right approach is a shared process. Therese will discuss options with each person and adjust methods based on goals, preferences, and how someone responds. Together they create a plan that fits real life and changes as progress is made.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video lets people read body language and have a focused conversation. Phone sessions work well when bandwidth is limited or when being off camera helps. Live chat and text-based messaging offer quick check-ins, ongoing support between appointments, and a way to work through short concerns without scheduling a full session. These options help fit therapy into busy schedules and different comfort levels.
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Specialties and expertise
Top specialties
Also works with
- Adoption and foster care
- Body image
- Caregiver issues and stress
- Commitment issues
- Compassion fatigue
- Coping with life changes
- Fertility issues
- Forgiveness
- Immigration issues
- Life purpose
- Postpartum depression
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Workplace issues
- Young adult issues
- Experience
- 7 years
- Licensed
- North Carolina, Virginia
- Languages
- English