Ashley Howell , LCSW

Ashley Howell is a Licensed Clinical Social Worker (LCSW) based in North Carolina who offers person-centered counseling for individuals and families. With seven years of experience in both case management and therapeutic work, she supports clients across the lifespan from young adults to older adults. Her practice emphasizes practical coping strategies and compassionate listening to address stress, anxiety, depression, grief, and self-esteem concerns.

Ashley has a background in medical settings and brings that experience to work with clients facing caregiver fatigue, dementia and Alzheimer’s support, chronic illness and pain, cancer-related concerns, and medical trauma. She also helps people navigating career challenges, burnout, life transitions, relationship difficulties, and family problems. In addition to bereavement and anticipatory grief counseling, she provides guidance for those coping with panic attacks, obsessive-compulsive patterns, post-traumatic stress, isolation, and questions of life purpose.

Her approach draws on evidence-based methods including Cognitive Behavioral Therapy, Motivational Interviewing, mindfulness-based techniques, strengths-based work, solution-focused strategies, and person-centered therapy. Clients can expect practical resources, collaborative goal setting, and tailored interventions aimed at improving day-to-day functioning and emotional well-being. Ashley invites people to engage in a respectful therapeutic partnership focused on growth and meaningful change.

Approaches that guide online care

Client-centered therapy focuses on creating a supportive, nonjudgmental environment where the client’s goals and values guide the work. This approach helps people who need space to explore emotions, clarify priorities, and build self-compassion.

Cognitive Behavioral Therapy (CBT) helps clients identify and shift unhelpful thoughts and behaviors into more constructive patterns. It is often used for stress, anxiety, depression, panic symptoms, and coping with life changes by teaching practical skills and strategies.

Mindfulness therapy cultivates present-moment awareness and simple practices to reduce reactivity and improve emotional regulation. It can be especially helpful for stress, burnout, panic symptoms, and ongoing health-related challenges.

Finding the right approach is part of the therapeutic process, and Ashley works collaboratively with clients to tailor methods to their needs, goals, and preferences. She helps clients experiment with different techniques and chooses strategies together based on what feels most helpful.

Online therapy with licensed professionals offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity during life transitions, and engage from home or other convenient locations while working toward consistent progress.