Paula Patterson, LCSW - Therapist in North Carolina

About Paula

Paula Patterson is a licensed clinical social worker with twenty years of experience helping people through difficult moments. She focuses on stress, anxiety, depression, trauma and abuse, addictions, and relationship concerns, and she also addresses parenting and intimacy-related issues. Paula aims to make therapy clear and practical for people who are worried and need straightforward support.

Her work often includes attention to obsessive-compulsive patterns, self-harm, sexual assault and abuse, and challenges tied to personality differences and seasonal mood shifts.

Background and approach

She also supports people dealing with grief, ADHD, bipolar mood concerns, and compassion fatigue. Paula brings calm persistence to difficult subjects and helps clients break problems into manageable steps. In session she uses approaches that emphasize values, emotional bonds, and practical skills.

She draws on Acceptance and Commitment Therapy to help clarify what matters, Cognitive Behavioral Therapy for changing unhelpful thinking and behavior, and Attachment-Based ideas to understand how relationships shape feelings. Sessions are shaped around each person’s needs and aims. Paula holds an LCSW (Licensed Clinical Social Worker) and practices in North Carolina.

She works in English and has experience across a wide range of life stressors and mental health concerns. The tone of her work is warm and direct, focused on helping people find steady ways forward. Background and approach: Over two decades of clinical work guide her choices in treatment.

Paula blends evidence-informed techniques with a client-centered stance, encouraging small experiments, skills practice, and clearer emotional understanding. She partners with people to set realistic goals and track progress, adjusting methods if something isn’t helpful. The aim is to leave clients better equipped to manage daily life and relationship stresses.

Therapeutic approaches in online care

Paula commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her online work. Acceptance and Commitment Therapy helps people name their values and take small steps toward what matters, even when hard feelings are present. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and behaviors and practicing concrete skills to change them.

She also uses Attachment-Based ideas to look at how relationships shape emotional patterns and to help people build more supported ways of relating. These approaches are explained in simple terms and chosen to match the concern at hand, such as anxiety, depression, trauma responses, or relationship stresses.

Finding the right approach is part of the therapeutic process. Paula will collaborate with each person to decide which methods fit their goals, preferences, and situation. She checks in about what is helping and adjusts the plan if needed, making decisions together rather than imposing a single method.

Online therapy offers flexible ways to meet - video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules and to maintain continuity when life gets hectic. The focus remains on clear communication, practical skills, and steady progress, whether working by voice, video, or written messages.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Attachment-Based Therapy

Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.

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.

Frequently asked questions

What kinds of concerns does Paula address?

She works with stress, anxiety, depression, trauma and abuse, grief, addictions, and many relationship and intimacy-related issues. She also addresses parenting, ADHD, bipolar, compassion fatigue, and related areas listed in her profile.

What is the overall therapy style I can expect?

Sessions are practical and client-centered, combining compassionate listening with skills practice. Techniques may include values work, thinking-and-behavior strategies, and attention to emotional bonds.

How long has she been practicing clinically?

Paula brings twenty years of clinical experience as a licensed social worker in her work with a range of concerns and treatment approaches.

Where is Paula licensed and practicing?

She holds an LCSW - Licensed Clinical Social Worker - with the license number NC LCSW C009264 and practices in North Carolina.

Which languages are supported for sessions?

Sessions are offered in English only.

Can people outside the United States work with her?

International clients are not currently accepted; her practice is based in North Carolina.

What formats are available for sessions?

She offers video calls, phone sessions, live chat, and text-based messaging as session formats to fit different needs and schedules.

How are cost and getting started handled?

Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Family conflicts

Also works with

Therapeutic approaches

Experience: 20 years
Licensed: North Carolina
Languages: English

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