About Stephanie
Stephanie Bigham brings a practical, acceptance-based approach to online therapy. She is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 20 years of experience. She encourages steady effort and small steps when old plans stop working.
Stephanie uses mindfulness and acceptance ideas alongside cognitive behavioral tools. She helps people notice thoughts and feelings without judging them. That awareness is paired with simple skills to reduce stress, anxiety, and depressive symptoms.
How Stephanie works
Sessions are interactive and collaborative. Stephanie often assigns short activities to try between meetings so progress continues outside sessions. She also shares clear information about problems and coping strategies to help people learn faster.
Her work focuses on common life challenges like stress, relationship and family conflict, parenting concerns, grief and loss, and career or motivation struggles. She also supports people dealing with trauma, intimacy issues, sleep problems, anger, mood disorders, bipolar disorder, and ADHD-related concerns.
Stephanie's background spans many settings - a mental health clinic for people with developmental delays, a hospital NICU, respite programs, classrooms, and independent practice. That variety gives her a broad, practical view of problems and solutions. She aims to meet people where they are and to find workable options together.
Her style is direct, compassionate, and geared toward building resilience and everyday coping skills. If someone wants steady support and concrete strategies, Stephanie focuses on achievable change.
Stephanie lists 6 ways of working on the entry:
What Stephanie works with
The areas below are the ones Stephanie 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
- ADHD
- Adoption and foster care
- Anger management
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Trauma and abuse
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 20 |
| 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 acceptance, CBT, and DBT translate to online care
Acceptance and Commitment Therapy (ACT) helps people accept difficult feelings while identifying personal values that guide action. It is useful for anxiety, stress, and life transitions where getting unstuck matters. Cognitive Behavioral Therapy (CBT) focuses on spotting and changing unhelpful thoughts and behaviors so symptoms like depression, worry, and sleep trouble ease. Dialectical Behavior Therapy (DBT) provides clear skills for managing strong emotions, improving distress tolerance, and strengthening relationships. Choosing the best approach is a team effort. The therapist will listen to current struggles, personal goals, and day-to-day routines to decide which methods to try first. That plan can change over time as progress is made and priorities shift. Online sessions are offered by licensed professionals through video calls, phone sessions, live chat, or text-based messaging. Video lets people use visual cues and practice skills in real time. Phone can be a faster check-in or a lower-bandwidth option. Live chat and messaging work well for brief check-ins, homework review, or midweek support. These formats aim to make therapy easier to fit into busy lives and help people keep momentum between sessions.Start online instead of waiting
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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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