Therese Middleton, LCSW

Therese Middleton is a Licensed Clinical Social Worker (LCSW) with seven years of professional experience, licensed to practice in North Carolina and Virginia. She works with adults facing stress, anxiety, trauma and abuse, and life transitions, bringing a calm and steady presence to each session.

Her clinical focus includes building self-esteem and confidence, addressing compassion fatigue, and helping clients develop practical coping strategies for difficult circumstances. She also supports people navigating adoption and foster care concerns, caregiver stress, fertility and pregnancy challenges, postpartum mood changes, body image and sexual assault recovery, workplace difficulties, and issues common to young adults.

Therese approaches each person with sensitivity, respect, and compassion, tailoring conversations and treatment plans to the individual needs of the client. She emphasizes collaborative care, working with clients to identify goals and select approaches that fit their life and values. Taking the first step toward therapy can require courage, and she recognizes and honors that decision as an important beginning.

Evidence-Based Approaches for Online Support

Therese uses evidence-based therapeutic techniques that focus on building practical coping skills to manage stress and anxiety. These approaches teach concrete strategies for emotional regulation, problem solving, and day-to-day coping so clients can feel more grounded when life becomes overwhelming.

She also offers trauma-informed work that prioritizes safety, pacing, and gradual processing for people recovering from abuse or assault. For caregivers and professionals experiencing compassion fatigue, she emphasizes self-compassion practices and strategies to restore balance and reduce burnout risk.

Finding the right therapeutic approach is a collaborative process. Therese works with each client to identify goals, explore what feels most helpful, and adjust methods over time so therapy matches the client’s needs, preferences, and pace.

Online therapy options include video calls, phone sessions, live chat, and text based messaging, which make scheduling more flexible and allow clients to engage from home or other convenient settings. These formats can help maintain continuity of care around busy schedules, family responsibilities, or geographic limitations, while preserving the therapeutic relationship between client and therapist.