Stephanie Bigham
Compassionate, skill-focused therapy for life changes
LCSW North Carolina
- Experience
- 20 years in practice
- Focus areas
- Stress, Anxiety, Relationship, Family
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Stephanie
Stephanie Bigham brings two decades of clinical social work experience to her practice and uses cognitive behavioral techniques combined with mindfulness and acceptance strategies to help people navigate life’s challenges.
Background and approach
She guides clients to observe thoughts and emotions with curiosity, then develops practical skills and small habit changes to reduce stress, anxiety, depression, and relationship conflict. Her approach encourages active participation, collaborative goal-setting, and between-session exercises to reinforce new coping strategies.
Licensed as an LCSW in North Carolina, Stephanie’s background spans mental health clinics, hospital and NICU settings, respite programs, independent practice, and classroom work. She also holds a Master of Social Work and has experience as a family mediator, substitute teacher, and stay-at-home parent, which broadens her perspective on family dynamics, parenting concerns, and workplace stress.
Areas of focus include parenting and family conflict, grief and loss, intimacy and relationship issues, mood disorders, career challenges, and adoption or blended family matters. Stephanie emphasizes a collaborative, psychoeducational stance that helps people build resilience and self-awareness.
She supports clients through transitions, trauma-related concerns, ADHD-related struggles, and coaching for life purpose and motivation, helping them find workable alternatives when initial strategies don’t succeed.
Therapeutic approaches that translate well to online care
Stephanie commonly integrates cognitive behavioral methods and acceptance-based practices into online sessions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought patterns and behaviors, which can reduce symptoms of anxiety, depression, and stress through structured exercises and skill-building. Acceptance and Commitment Therapy (ACT) encourages mindful acceptance of difficult internal experiences while clarifying values and committing to meaningful actions, useful for coping with grief, life transitions, and chronic worry. Dialectical Behavior Therapy (DBT) adds emotion regulation, distress tolerance, and interpersonal effectiveness skills that can help with intense emotions and relationship challenges.
Choosing the right approach is a collaborative process. The therapist will work with each person to explore goals, preferences, and practical needs to tailor techniques that fit their life. Clients often try strategies in-session and adapt them over time as progress is tracked together.
Online therapy offers practical flexibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to attend from home or work, maintain continuity during busy periods, and practice skills between meetings. Licensed professionals can use these formats to deliver the same structured interventions, homework assignments, and psychoeducation that support meaningful change.
Frequently asked questions
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Licensed
North Carolina
Languages
English