About Regina
Regina Hughes is a licensed clinical mental health counselor (LCMHC) in North Carolina with 14 years of experience. She helps people who are feeling overwhelmed by stress, anxiety, depression, relationship strain, parenting challenges, or grief. Regina also supports people facing addiction, trauma, low self-esteem, career transitions, and ADHD concerns.
Regina aims for calm, simple conversations. She creates a warm space where clients can say what they think and feel without judgment.
How Regina works
Sessions focus on practical steps that a person can use between meetings. The pace adapts to what each person needs. Her approach often centers on Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions connect.
Regina uses that framework to help people break unhelpful patterns and try different ways of coping. She pairs that work with straightforward problem-solving and planning. She also addresses relationship and family topics such as communication, blended family stress, separation and divorce, and fatherhood issues.
Regina helps people sort family-of-origin concerns, codependency, forgiveness, and boundary-setting in everyday terms. People come to her when life changes feel heavy - after a loss, during a career shift, or when emotions get hard to manage. She supports caregivers dealing with burnout, people recovering from substance issues, and those working through intimacy and commitment worries.
Regina works in English and accepts international clients for online sessions.
Regina lists one way of working on the entry:
What Regina works with
The areas below are the ones Regina 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
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Panic disorder and panic attacks
- Parenting issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Young adult issues
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 14 |
| 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
How Regina Uses CBT Online and What to Expect
Regina often uses Cognitive Behavioral Therapy (CBT) online. CBT looks at how thoughts, feelings, and behaviors connect. It helps people notice unhelpful thinking, test new ideas, and try different actions to reduce anxiety, depression, and stress-related problems.She applies CBT to relationship and family concerns too, using concrete exercises to improve communication and problem-solving. For issues like grief, addiction, or codependency she combines thought work with practical coping tasks and planning for real-life situations.
Choosing the best approach is a shared process. Regina talks with each person about goals, preferences, and what has worked in the past. Together they try strategies, adjust them over time, and pick the mix that fits the person’s life and needs.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full conversations and face-to-face interaction. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and text messaging work well for quick updates, reflections between sessions, or when someone prefers writing. These options make scheduling cleaner and help people keep therapy going around work, caregiving, and travel.
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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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