About Richard
Richard McDonald is a licensed clinical mental health counselor (LCMHC) based in North Carolina. He focuses on common and urgent concerns like stress, anxiety, depression, addictions, anger, self-esteem, grief, trauma, parenting, and relationship difficulties. He works in straightforward language and aims to help people take practical steps toward feeling better.
Richard uses clear tools from several therapy approaches to guide sessions. He draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and mindfulness-based methods.
How Richard works
Sessions involve talking through problems, learning coping skills, and practicing new ways of responding to difficult thoughts and feelings. He has five years of clinical experience as an LCMHC in North Carolina. His background includes work with mood disorders, panic, post-traumatic stress, and substance-related concerns.
Richard also addresses issues like caregiver stress, adoption and foster care matters, impulsivity, and money or career stress. In the room he emphasizes practical steps you can use between sessions. That might mean skill practice, short behavior changes, or exercises in noticing thoughts and values.
He tailors the plan to the person's immediate goals and life situation. Richard offers sessions by video, phone, live chat, and text messaging so therapy can fit into busy schedules. He provides guidance for coping with life changes and for building skills to manage intense emotions and urges.
People who choose him get a straightforward, goal-minded approach that blends talk, skills training, and mindfulness practice. He helps people set small, achievable steps and track progress over time.
Richard lists 8 ways of working on the entry:
What Richard works with
The areas below are the ones Richard selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Anger management
Also listed
- Adoption and foster care
- Antisocial personality
- Bipolar disorder
- Caregiver issues and stress
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Drug and alcohol addiction
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Impulsivity
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Social anxiety and phobia
- Trauma and abuse
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 5 |
| 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 these approaches work online
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to you and taking small steps toward those values while learning to notice difficult thoughts without being driven by them. It is useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) helps identify and change unhelpful thinking and behavior patterns through structured practice and homework exercises, which can reduce panic, mood symptoms, and problematic responses to stress. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and increase calm in daily life; it pairs well with skills-focused approaches for managing strong emotions.Finding the right fit is a collaborative process. The therapist will talk with the person about goals, try a few techniques, and adjust the plan based on what helps most. Clients and the therapist decide together which methods to emphasize and when to try different strategies.
Online therapy offers practical benefits. Video calls let people see nonverbal cues and practice skills in real time. Phone sessions work well when a quieter setting or lower bandwidth is needed. Live chat and text messaging make brief check-ins and skill coaching easier between sessions. These options allow therapy to fit around work, caregiving, and busy days while keeping the focus on useful tools and steady progress.
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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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