Carla McGehee , LPC

Carla McGehee, LPC, centers her work on practical approaches that help people change unhelpful patterns. She uses clear, step-by-step methods so clients can make sense of thoughts and reactions. Sessions move at each person’s pace and focus on goals they set together.

Carla has 13 years of counseling experience in Texas. She began as an intake specialist and spent several years counseling people with depression, anxiety, trauma, chronic pain, and emotional control struggles. Her background includes work at community mental health settings and outpatient counseling roles.

In sessions she often draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy ideas to break down thoughts and behaviors into manageable pieces. She also uses Mindfulness Therapy, Motivational Interviewing, and Narrative Therapy where those approaches fit a person’s needs. Carla explains concepts plainly so they do not feel abstract or overwhelming.

Carla pays attention to how loss and change affect people. She helps clients mourn losses, let go of old coping habits, and reimagine life after big changes like job loss or bereavement. She also works with challenges such as addiction-related coping, self-esteem, and relationship concerns.

Sessions are generally 45 minutes and flexible enough to address new issues that arise. With a client’s permission, she can incorporate spiritual beliefs into sessions as a source of support. The aim is for people to leave feeling more hopeful and able to move forward.

How evidence-based approaches translate to online care

Carla commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy ideas in her work. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which helps with anxiety, depression, and coping with life changes. DBT offers skills for managing strong emotions and reducing impulsive or avoidant responses, useful for emotional control and addiction-related coping.

Finding the right approach is part of the work together. Carla treats approach selection as collaborative and will help decide which methods fit a person’s goals, needs, and preferences. She explains techniques in plain language and adjusts methods as progress is made.

Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, live chat is useful for brief check-ins, and text messaging supports ongoing, flexible contact between sessions. These options make it easier to schedule sessions around work, childcare, or medical needs while keeping therapy consistent.