- Mindfulness and ACT
- CBT techniques
- Skills and homework
About Stephanie
Stephanie Bigham is a Licensed Clinical Social Worker (LCSW) in North Carolina with 20 years of experience. She works with people dealing with stress, anxiety, relationship and family concerns, parenting, self-esteem, grief, anger, mood disorders and related problems. Stephanie uses practical methods and asks clients to be active participants in sessions.
She combines mindfulness and acceptance ideas with cognitive behavioral techniques. That means helping people notice their thoughts and feelings, then testing whether those thoughts help or hurt. She often gives short exercises to try between sessions so people can practice new responses to stress and frustration.
Stephanie also draws on dialectical behavior therapy and narrative therapy to help clients learn specific coping skills and to reframe difficult life stories. She uses psycho-education to explain why certain patterns repeat and what small changes can reduce overwhelming feelings. Sessions involve concrete tools rather than vague theory.
Her background includes work in mental health clinics, hospitals including NICU settings, respite programs, private practice, and classrooms. She has experience supporting people connected to adoption and foster care, blended family issues, caregiver stress, first responder concerns, and other complex life situations.
Stephanie asks for collaboration and active effort. She describes therapy as a process where clients try different options until something fits. Practical homework and straightforward feedback are routine parts of her approach.
How her therapeutic approaches work for online sessions
Stephanie commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT focuses on noticing thoughts and values, then taking actions that matter despite difficult feelings. CBT teaches concrete ways to test and change unhelpful thoughts and behaviors to reduce stress and anger.She also uses elements of Dialectical Behavior Therapy when teaching specific emotion regulation and interpersonal skills. DBT-informed skills help people manage intense feelings and communicate more effectively under pressure.
Finding the right approach is part of the work. She will collaborate with each person to decide which methods to try based on goals, symptoms, and preferences. That means adjusting techniques and homework over time until a practical fit is found.
Session formats are not specified in the biography, so confirm the current online options before booking. Online sessions can make it easier to schedule therapy around work or family time, allow shorter check-ins when needed, and let people practice skills in the settings where they live. The focus remains on learning and using clear tools for managing anger, stress, and relationship problems.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, relationship and family concerns, parenting, self-esteem, grief, anger, mood disorders and related issues.
What is her therapeutic style?
She uses a mindfulness and acceptance-based cognitive behavioral approach with practical skill teaching and homework.
How many years has she practiced?
She has 20 years of experience in clinical and community settings.
What are her credentials and location?
She is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina.
Which languages are supported?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are session costs handled?
Cost varies with location, and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.