Regina Hughes , LCMHC

Regina Hughes is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 14 years of professional experience. She works with individuals and families facing a wide range of concerns, including stress and anxiety, depression, relationship and family conflicts, parenting challenges, trauma and abuse, addictions, grief, and issues related to self-esteem and intimacy.

She creates a welcoming, nonjudgmental space where clients can explore thoughts and feelings openly. Regina emphasizes collaboration, helping people identify patterns that maintain distress and developing practical strategies to promote healthier thinking and coping. Her clinical work includes the use of Cognitive Behavioral Therapy (CBT), a structured, skills-based approach that helps clients reframe unhelpful thoughts and change behaviors to reduce symptoms and improve daily functioning.

Regina recognizes that reaching out for support takes courage and she offers steady guidance throughout the therapeutic process. She assists clients navigating life changes, caregiving stress, family-of-origin issues, parenting concerns, and the complexities of relationships and career challenges. Her approach is focused, compassionate, and geared toward helping clients build resilience and move toward more fulfilling, manageable lives.

Approach to Treatment and Online Therapy

Regina Hughes uses Cognitive Behavioral Therapy (CBT) as a core method to help clients understand how thoughts, feelings, and behaviors interact. CBT emphasizes practical skills - identifying unhelpful thought patterns, testing those thoughts, and developing alternative responses - which can be applied to issues such as anxiety, depression, stress, and coping with life changes.

Finding the right therapeutic approach is part of the work itself. Regina collaborates with each client to clarify goals, preferences, and needs, and together they determine whether CBT or a particular focus within treatment is the best fit. This collaborative process allows adjustments over time as progress and priorities evolve.

Online therapy offers flexible options for connecting with a licensed professional. Regina is available for video calls, phone sessions, live chat, and text-based messaging, which makes it easier to schedule sessions around work, caregiving, and travel. These formats support continuity of care and make it more accessible for clients in different locations, including international clients, to engage in consistent therapeutic work.