About Carol
Carol Mayfield offers calm, practical support for people feeling overwhelmed by stress, anxiety, depression, addiction, or major life changes. She is a North Carolina licensed clinical social worker with 36 years of experience. Carol creates an open, affirming space for LGBTQ+ people and for those seeking faith-neutral or religion-accepting care.
She focuses on clear, usable skills rather than jargon. Sessions aim to help people manage symptoms, rebuild self-esteem, and handle grief or relationship strain.
How Carol works
Carol also helps with career questions and burnout or compassion fatigue. Her approach mixes several therapies so work in sessions matches what a person needs. She uses cognitive behavioral tools to notice and shift unhelpful thoughts and behaviors.
Mindfulness and acceptance strategies help clients tolerate difficult feelings without getting stuck. Carol also draws on client-centered principles to keep the work grounded in respect and collaboration. When motivation is low, she uses motivational interviewing techniques to find personal reasons for change.
For people who struggle with emotional regulation, dialectical behavior ideas teach concrete skills for calmer reactions. People can expect straightforward guidance, short-term coping plans, and longer-term work on values and goals. Carol balances practical exercises with listening and validation.
Her style aims to help people leave sessions with one or two things they can try right away.
Carol lists 8 ways of working on the entry:
What Carol works with
The areas below are the ones Carol selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Career difficulties
- Coaching
- Compassion fatigue
- Coping with life changes
- Depression
- Grief
- LGBT
- Relationship issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 36 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online work
Acceptance and Commitment Therapy (ACT) helps people focus on what matters to them while accepting hard feelings. It uses values-based goals and simple exercises to build a workable life despite difficult emotions. Cognitive Behavioral Therapy (CBT) identifies patterns of thought and behavior that keep problems going and teaches concrete steps to change them, which often fits well into short online sessions. Mindfulness Therapy trains attention and awareness through brief practices that can be done between sessions to reduce rumination and anxiety.Finding the best approach is part of the work together. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before. From that conversation Carol helps choose and adjust methods so the plan fits the person’s life and needs in a collaborative way.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for different schedules and comfort levels. Video is useful for in-depth conversation and exercises that benefit from visual cues. Phone sessions are good for lower bandwidth or quick check-ins. Live chat and messaging work well for brief updates, coping plans between sessions, or when someone prefers typed communication. These options make it easier to fit therapy into a busy life while still using evidence-informed approaches.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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