About Milliann
Milliann Abrams is a licensed marriage and family therapist practicing in North Carolina. She has 13 years of clinical experience and focuses on practical help for everyday struggles. She speaks plainly and keeps sessions focused on what a person needs right now.
Milliann aims to make the therapy room feel relaxed and straightforward. She invites people to describe their worries and then works with them to set clear, achievable goals.
How Milliann works
Sessions tend to focus on skills you can use between meetings, plus ways to understand patterns that keep causing pain. Her work covers a wide range of concerns including stress, anxiety, trauma and abuse, relationship and family issues, grief, addictions, and mood conditions such as depression and bipolar.
She also supports people dealing with sleep and eating problems, career strain, caregiver stress, and identity-related concerns like LGBT issues. Milliann draws on approaches such as acceptance and commitment work, attachment-based perspectives, client-centered listening, cognitive behavior techniques, and dialectical behavior strategies. She adapts those methods to fit a person's goals rather than following a rigid plan.
Sessions are offered by video, phone, live chat, or text messaging to fit busy schedules. To begin, a prospective client completes a short matching questionnaire and then schedules appointments based on therapist availability. The process is intended to be simple and direct.
Milliann lists 19 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
What Milliann works with
The areas below are the ones Milliann selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 13 |
| 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
Therapy approaches that work well online
Acceptance and Commitment Therapy helps people notice painful thoughts without getting stuck in them and then choose actions that match their values. It can be useful for anxiety, depression, and life transitions. Attachment-Based Therapy looks at how early relationships shape current connections and helps people change patterns that cause distance or conflict. It can help with relationship and family-related concerns. Client-Centered Therapy emphasizes empathic listening and creating a respectful space where a person feels heard and understood; that approach supports change by building trust and self-understanding.Finding the right mix of methods is part of the process. The therapist will talk through goals and preferences and collaborate on which approaches to use. That way each plan is tailored to what the client wants to change and how they prefer to work.
Online therapy offers flexibility along with continuity of care. Video calls let you read facial expressions and do longer sessions, phone sessions can fit into short breaks or require less bandwidth, and live chat or text-based messaging work for quick check-ins or when writing helps you process. These options make it easier to keep therapy consistent around work, caregiving, and other demands.
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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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