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CM Portrait of Carol Mayfield

Carol Mayfield

Experienced LCSW offering practical, affirming care

LCSW North Carolina

Experience
36 years in practice
Focus areas
Stress, Anxiety, Addictions, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Carol

Carol Mayfield is a licensed clinical social worker with 36 years of experience helping people navigate stress, anxiety, depression, addiction, grief, relationship challenges, career questions, and changes in life circumstances.

Background and approach

She practices in North Carolina and emphasizes an affirming stance toward LGBTQ+ clients while remaining open to a range of religious perspectives including non-religious and Christian approaches. Her work blends evidence-based techniques with a warm, client-centered presence.

Carol guides clients toward building coping skills, increasing resilience, and improving self-esteem using approaches such as cognitive behavioral methods, mindfulness, and acceptance strategies. She frames therapy as a collaborative process that respects each person's story and personal goals.

Clients can expect practical, compassionate support focused on tangible progress and personal growth. Carol combines motivational methods and dialectical strategies when helpful, tailoring interventions to fit an individual's needs rather than applying a one-size-fits-all plan.

Her long practice provides depth of perspective while keeping the work grounded and forward-looking.

Evidence-Informed Approaches for Online Care

Carol uses cognitive behavioral approaches to help people identify and change unhelpful thinking and behavior patterns, which can be useful for anxiety, depression, and stress. She also draws on Acceptance and Commitment Therapy (ACT) to help clients clarify values and learn flexible, accepting responses to difficult emotions. Finally, a client-centered stance ensures sessions focus on the person's priorities, building a supportive relationship and tailoring interventions to individual goals.

Finding the right approach is part of the therapeutic process, and she works collaboratively with clients to decide which methods fit best. That collaboration includes reviewing how techniques feel in practice and adjusting strategies as needs and goals evolve over time.

Online therapy with her is offered through a variety of formats - video calls, phone sessions, live chat, and text-based messaging - which makes scheduling more flexible and helps people access care from different locations within North Carolina. These options support consistent engagement and allow clients to choose the communication style that best suits their life and therapeutic goals.

Frequently asked questions

What concerns does she commonly address?
Her practice focuses on issues such as stress, anxiety, depression, addictions, low self-esteem, grief, relationship struggles, career concerns, coping with life changes, compassion fatigue, and LGBT related matters.
What therapeutic style does she use?
She uses a compassionate, client-centered style and integrates evidence-based approaches like CBT, ACT, DBT, mindfulness, and motivational interviewing to tailor support to each person's needs.
How much clinical experience does she have?
She brings 36 years of professional experience as a licensed social worker to her practice, offering long-term perspective on coping and personal growth.
What are her credentials and location?
She is an LCSW licensed in North Carolina with license number NC LCSW C005069 and maintains a practice based in North Carolina.
Does she work with clients in other languages or internationally?
Sessions are offered in English, and she is not accepting international clients at this time.
Which session formats are available?
She offers multiple online formats including video calls, phone sessions, live chat, and text-based messaging to meet different preferences and schedules.
How are fees and subscriptions handled?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Also works with

LGBTRelationship issuesGriefCareer difficultiesCoachingCompassion fatigue

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapySomatic Therapy

Experience

36+ years

Licensed

North Carolina

Languages

English