Heather Scarboro , LCMHC

Heather Scarboro is a Licensed Clinical Mental Health Counselor (LCMHC) with ten years of practice. She focuses on helping people who are feeling overwhelmed by stress, anxiety, relationship struggles, addiction concerns, grief, or life transitions. Heather routinely supports issues related to women’s experiences and identity in therapy.

Heather keeps sessions straightforward and practical. She listens first, then helps clients set small goals they can act on between meetings. Conversations can include coping skills for anxiety, planning for career changes, or working through intimacy and body-image concerns.

Her approach draws on client-centered principles, dialectical behavior strategies, emotionally-focused work, and trauma-focused methods. That means Heather starts from what each person needs, teaches skills for emotional regulation, and uses focused trauma processing when appropriate.

She brings experience from community settings and work with diverse groups. Heather has a background supporting people affected by trauma, dissociative symptoms, and those in the LGBTQ community. Her perspective is informed by a long personal and professional engagement with trauma-related concerns.

Sessions are offered from North Carolina and are available to people in other places as well. Heather works in English and provides a range of online formats to fit different schedules and comfort levels. To begin, clients complete a short matching questionnaire and schedule a session.

Online approaches for trauma and emotional regulation

Heather often integrates client-centered work, dialectical behavior therapy (DBT), and emotionally-focused therapy (EFT) into online sessions. Client-centered work means the therapist follows the person's lead, validates feelings, and builds on the client's strengths to set clear, practical goals. DBT provides concrete skills for managing intense emotions, reducing impulsive behaviors, and improving communication. EFT focuses on identifying and reshaping emotional patterns in relationships and close connections, which can help with intimacy and attachment concerns.

Finding the right approach is part of the work together. Heather will discuss needs, goals, and preferences in early sessions and recommend which combination of methods seems most helpful. The plan can change over time as progress is made or new priorities arise, making the process collaborative and adaptable.

Online therapy offers flexibility across several formats - video calls, phone sessions, live chat, and text-based messaging. Video lets people use face-to-face conversation when visual cues help. Phone sessions need less bandwidth and can fit into a quick break. Live chat and text messaging are useful for brief check-ins, ongoing coaching, or when writing feels easier than talking. These choices make it simpler to keep therapy consistent while managing busy days and varied schedules.