Alesha Perkins , LCSW

Alesha Perkins is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina and Virginia who brings a compassionate, client-focused approach to individual and family therapy. With over 15 years of experience providing therapy across the lifespan, she has supported children, adults, and older adults through a wide range of concerns including depression, anxiety, relationship difficulties, self-esteem challenges, divorce, career stress, substance use, medical diagnoses, grief, and life transitions.

Alesha prioritizes a nonjudgmental and empathetic therapeutic environment that encourages clients to set meaningful goals and build the skills they need to reach them. She emphasizes client autonomy and works to empower people to make choices that align with their values. Her counseling style is easygoing and authentic, which many clients find helps them speak openly and honestly about sensitive topics.

Her clinical approach blends cognitive behavioral techniques, client-centered principles, motivational interviewing, and solution-focused strategies to tailor care to each person or family. Alesha aims to help clients identify practical steps, shift unhelpful thinking patterns, and strengthen motivation for change. She welcomes the decision to begin therapy and looks forward to guiding individuals and families on their path toward meaningful change.

Therapeutic Approaches and Online Care

Alesha Perkins uses client-centered therapy to create a warm, respectful space where the client’s goals and values guide the work; this approach helps people build confidence and make choices that feel right for them. Cognitive Behavioral Therapy, or CBT, is used to identify and change unhelpful thinking and behavior patterns and can be especially helpful for anxiety, depression, and stress-related concerns. Motivational Interviewing supports clients who are ambivalent about change by exploring their own reasons for change and strengthening their commitment.

Finding the right therapeutic approach is part of the process and Alesha works collaboratively with each person to determine which methods best match their needs, goals, and preferences. She tailors interventions over time as progress is made and priorities shift.

Online therapy offers practical flexibility - sessions can be scheduled as video calls or phone appointments, and shorter check-ins or ongoing work can happen through live chat or text-based messaging. These options make it easier to fit therapy into a busy life and to maintain continuity of care when schedules or circumstances change.