Stephanie Bigham, LCSW

Stephanie Bigham is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 20 years of clinical experience supporting individuals and families through life transitions and emotional challenges. She brings a broad background that spans work in mental health clinics serving people with developmental delays, hospital and NICU settings, respite programs, private practice, classroom environments, and experience as a stay-at-home parent and K-5 substitute teacher. This varied professional history informs a practical, flexible perspective on therapy that values collaboration and realistic problem solving.

Stephanie holds a Bachelor of Arts in Sociology with minors in Psychology and Education from the University of Florida and a Master of Social Work from Florida International University. She is also a Supreme Court Certified Family Mediator, and she integrates mediation skills when helping families navigate conflict and separation. As an LCSW she focuses on building self-awareness and resilience using mindfulness and acceptance-informed cognitive behavioral strategies, inviting active participation and homework between sessions to reinforce growth.

Her clinical interests include stress and anxiety, parenting and family conflict, relationship and divorce issues, motivation and self-confidence, grief and loss, depression, career concerns, and coaching. She also works with trauma and abuse, LGBT issues, ADHD, bipolar and mood disorders, sleep difficulties, anger, intimacy-related concerns, and caregiver stress. Stephanie emphasizes a psycho-educational approach so clients gain practical tools and information to better cope with stressful circumstances and pursue meaningful change.

Evidence-Informed Approaches for Online Therapy

Stephanie uses Acceptance and Commitment Therapy (ACT) to help people clarify their values and take meaningful action even when distressing thoughts and feelings are present. ACT focuses on building psychological flexibility so clients can pursue what matters to them despite discomfort.

She also draws on Cognitive Behavioral Therapy (CBT), a structured approach that helps clients identify and reframe unhelpful thinking patterns while developing practical skills to reduce symptoms of anxiety, depression, and stress. Mindfulness therapy is woven into her work to strengthen present-moment awareness and reduce reactivity to difficult emotions, which can support regulation and interpersonal effectiveness.

Selecting the right approach is a collaborative process. Stephanie works with each person to match techniques to their needs, goals, and preferences, adjusting methods as progress and circumstances evolve.

Online sessions offer flexible options including video calls, phone sessions, live chat, and text-based messaging, allowing clients to access a licensed professional from locations that fit their schedule. These formats can make it easier to maintain consistency in care, fit therapy into busy lives, and try different modes of communication to see what works best for each individual.