Ashley Howell, LCSW

Ashley Howell is a licensed clinical social worker (LCSW) practicing in North Carolina who brings seven years of experience supporting people across the lifespan. She offers individualized care for clients as well as sessions that include family members or other significant people in a client’s life. Over the course of her career she has combined case management with therapy to help adults from young adulthood through older age navigate stressors and medical or life transitions.

Ashley works with a wide range of concerns including stress, anxiety, depression, grief and bereavement, compassion fatigue, self-esteem struggles, caregiver fatigue, and challenges related to career or family. She also has experience supporting clients facing aging and geriatric issues, dementia and Alzheimer’s support, chronic illness and pain, hospice and end-of-life counseling, cancer-related needs, and trauma tied to medical experiences. Communication problems, feelings of emptiness or isolation, panic and obsessive-compulsive symptoms, and post-traumatic stress are also within her areas of focus.

Her clinical toolkit draws on approaches such as Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Mindfulness-based strategies, and Motivational Interviewing. Ashley aims to provide a listening presence, practical resources, and collaborative therapeutic work to help clients build coping skills and move toward meaningful change.

Therapeutic Approaches and Accessible Online Care

Ashley integrates Cognitive Behavioral Therapy and Client-Centered Therapy alongside Mindfulness-based techniques to address common concerns. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thought and behavior that contribute to anxiety, depression, or unhelpful coping, and on developing practical strategies to change those patterns. Client-Centered Therapy emphasizes a supportive, nonjudgmental therapeutic relationship where the client’s own goals and perspective guide sessions, which can be helpful for building self-esteem and processing life transitions. Mindfulness-based approaches teach present-focused awareness and stress management skills that can reduce rumination and improve emotional regulation.

Finding the right approach is part of the therapeutic process. Ashley works collaboratively with each person to determine which methods best match their needs, goals, and preferences, and she adapts techniques over time as circumstances change. This collaborative stance helps clients feel heard and engaged in planning their care.

Online therapy offers practical flexibility for busy lives and for those with mobility or caregiving demands. Video calls allow face-to-face interaction, phone sessions offer an alternative when video is not possible, and live chat or text-based messaging can provide more frequent check-ins or support between sessions. These options make it easier to maintain continuity of care and fit therapy into everyday routines.