Midge Spong, LCSW - Therapist in North Carolina

About Midge

Midge Spong is a Licensed Clinical Social Worker who helps people facing stress, anxiety, grief, self-esteem struggles, and family or parenting challenges. She uses clear, practical conversation to help clients figure out goals and next steps. Her style tends to be warm and straightforward, aimed at making change feel manageable for busy families and caregivers.

She brings about ten years of clinical experience and a background in life and career coaching.

Background and approach

That combination means sessions may include problem-solving for work and life transitions alongside emotional support. Midge holds a Master’s in Social Work from the University of North Carolina at Chapel Hill and practices as an LCSW in North Carolina. In sessions she listens first to understand what matters most to the client.

She asks questions that help people notice strengths they already have. From there she helps craft small, concrete steps toward goals like improving family routines, coping with loss, or planning a career move. Midge uses techniques from Cognitive Behavioral Therapy and Solution-Focused Therapy along with client-centered listening and motivational interviewing.

Those methods help identify unhelpful thinking, build practical skills, and keep conversations action-oriented. She also has training in career, health, and retirement coaching that can be woven into counseling when relevant. Her work also includes support for aging and geriatric issues, hospice and end-of-life concerns, life purpose, and women’s issues.

Sessions aim to be collaborative and to leave clients with clear options and manageable steps.

Approaches that guide online sessions

Client-Centered Therapy focuses on listening and reflecting so people feel understood; it helps when someone needs empathy and clarity before making changes. Cognitive Behavioral Therapy, or CBT, looks at patterns of thinking and behavior and teaches tools to break unhelpful cycles, which can be useful for anxiety, low mood, and stress.

Choosing a method is a team effort. The therapist will talk about what feels most helpful and may mix approaches based on goals and preferences. That collaborative process lets clients try practical strategies while keeping conversations attuned to their values and family needs.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different schedules. These options make it easier to keep regular work on goals, follow up after a busy week, or check in between larger steps. The flexible formats support ongoing progress in ways that fit modern family life and caregiving responsibilities.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Motivational Interviewing

A way of working through mixed feelings about change without being pushed. The therapist helps you weigh things up and find your own reasons, which often makes a difficult decision feel less stuck.

Frequently asked questions

What concerns does Midge address?

She supports people with stress, anxiety, grief, self-esteem, depression, relationship and family matters, parenting, career questions, compassion fatigue, ADHD, and coping with life changes.

How would she describe her therapeutic style?

Midge listens closely and uses straightforward conversation. She blends client-centered listening with practical, goal-oriented techniques.

What is her professional background?

She has around 10 years of experience in clinical work and coaching, and she pairs counseling skills with career and health coaching training.

What credentials and location are listed?

She is a Licensed Clinical Social Worker, LCSW, with NC LCSW C003007 and is based in North Carolina.

Which languages and international options are available?

Sessions are offered in English and international clients are accepted.

What session formats are offered?

Sessions can be held as video calls, phone sessions, live chat, or text-based messaging to fit different needs.

How are costs and billing handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

What are the steps to begin working together?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience: 10 years
Licensed: North Carolina
Languages: English

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