Heather Scarboro, LCMHC

Heather Scarboro is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with 10 years of professional experience helping people navigate stress, anxiety, addiction, trauma, and relationship concerns. The LCMHC credential indicates state licensure to provide mental health counseling and reflects training in assessment and therapeutic intervention.

She works with a wide range of issues including depression, grief, intimacy-related concerns, anger, self-esteem, career transitions, bipolar disorder, ADHD, and compassion fatigue. Heather also supports clients facing abandonment and attachment issues, blended family dynamics, body image and sexual diversity topics such as BDSM and kink, caregiver stress, chronic illness and pain, codependency, communication challenges, and responses to natural or human-caused disasters. Her practice includes attention to both clinical diagnoses and the everyday stresses that affect functioning and relationships.

Heather draws on several therapeutic approaches to tailor care to each person - including client-centered methods that prioritize the person’s own goals, dialectical behavior therapy skills for emotion regulation and coping, and EMDR techniques for processing traumatic memories. She provides services in English and accepts international clients, offering flexible session formats such as video calls, phone sessions, live chat, and text-based messaging to meet diverse needs.

Therapeutic approaches adapted for online care

Heather often integrates client-centered therapy, which focuses on building a respectful, nonjudgmental relationship and centering the client’s own goals and values. This approach helps people clarify priorities, increase self-awareness, and guide changes at a pace that feels right for them.

She also uses Dialectical Behavior Therapy - DBT - skills to teach practical tools for managing intense emotions, improving interpersonal effectiveness, and reducing harmful behaviors. These skills are useful for stress, mood instability, and relationship challenges.

EMDR is incorporated when processing distressing memories and trauma is a focus of treatment; it involves structured techniques to help the brain integrate troubling experiences and reduce their emotional impact.

Finding the right approach is collaborative. Heather works with each person to identify goals, preferences, and what feels most helpful, and she adapts methods over time as needs evolve.

Online therapy offers flexibility - sessions can happen by video call, phone, live chat, or text-based messaging - which can make regular care easier to fit into busy lives, support access across distances, and allow continued momentum in therapy when in-person visits are not possible.