About Katie
Katie Clay - Wakefield is a licensed clinical mental health counselor (LCMHC) who focuses on helping women in transitional periods of life. She draws on 18 years of experience and a background in dance/movement therapy and counseling to offer straightforward, down-to-earth support. Her style is honest, warm, and sometimes playful to make sharing easier.
She often works with people facing relationship and parenting tensions, shifts in career, and big life changes.
How Katie works
Clients also turn to her for help with self-esteem, body image, and finding life purpose. She pays particular attention to attachment concerns, caregiver stress, and issues connected to alternative sexual cultures like BDSM and kink. Katie’s sessions begin with listening closely to what brought someone in and which parts of their history feel connected to current struggles.
She aims to help clients set boundaries, use their voice, and make intentional choices that match what they really want. Her approach mixes direct feedback with moments of humor and grounded reflection. Those who need support around midlife questions, perimenopause transitions, and the strain of caring for others will find practical focus in her work.
She encourages small steps that lead to clearer decisions and more creative freedom in daily life. Therapy with Katie is collaborative. She treats progress and setbacks as part of the same process and celebrates growth while holding space when change feels hard.
What Katie works with
The areas below are the ones Katie selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Parenting issues
- Self esteem
Also listed
- Attachment issues
- BDSM, kink, and alternative sex culture
- Body image
- Career difficulties
- Caregiver issues and stress
- Coping with life changes
- Forgiveness
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Self-love
- Women's issues
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 18 |
| 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
Evidence-based approaches and flexible online care
Katie blends evidence-based therapeutic techniques with a practical, person-centered approach. One common method she uses focuses on identifying life patterns and attachment dynamics to improve relationships and reduce isolation. This approach helps people notice how past experiences shape current choices and interactions.Another technique emphasizes body-centered awareness drawn from her dance/movement therapy training to help with body image, stress, and working through somatic responses. It brings attention to physical sensations as clues to emotions and supports more grounded decision making.
Finding the right approach is a shared process. She works collaboratively with clients to choose methods that match their goals, comfort level, and pace. Over time she adjusts techniques based on how a person is responding and what feels most useful.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit busy lives. Video calls allow for real-time conversation and nonverbal cues, phone sessions are useful when bandwidth or camera use is limited, live chat can be a shorter check-in, and messaging supports ongoing reflection between meetings. These options aim to make consistent therapy easier to fit into daily life.
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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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