Leslie Rice , LCSW

Leslie Rice is a licensed clinical social worker in North Carolina with 20 years of experience. She focuses on helping people navigate stress, anxiety, depression, addictions, and issues linked to gender and sexual identity. Leslie approaches work with sensitivity and respect, aiming to create a supportive space for people who want change.

Leslie uses practical, goal-oriented methods that fit each person’s needs. She often draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice unhelpful patterns and try new behaviors. Dialectical Behavior Therapy and mindfulness approaches support emotional regulation and coping skills when feelings run high.

She also uses narrative ideas to help people make sense of hard experiences, including trauma, grief, or identity struggles. That can mean looking at stories people tell themselves and testing alternative ways to see a situation. This helps with problems like self-esteem, body image, and shame.

Leslie works with a range of concerns related to relationships and family life, such as blended family issues, parenting strain, and conflict. She helps people address abandonment fears, codependency, and impulsivity in everyday choices. Her background includes hospice and end-of-life counseling as well as support for people affected by domestic violence.

In sessions she focuses on clear steps and practical tools. Conversations are tailored to what the individual wants to change and how they prefer to work. The approach is collaborative and geared toward steady progress over time.

Therapeutic approaches and how they work online

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then take values-based actions. It is often useful for anxiety, depression, and stress when someone wants clearer direction about what matters to them.

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns. It provides practical tools for managing anxiety, mood concerns, and impulsive reactions by testing new skills between sessions.

Dialectical Behavior Therapy (DBT) includes skills for emotional regulation, distress tolerance, and interpersonal effectiveness. It can help when emotions feel overwhelming or when relationships trigger intense reactions.

Finding the right approach is part of the work. The therapist will collaborate with each person to pick methods that match their goals, needs, and preferences. That may mean combining elements from different approaches and adjusting the plan as progress is made.

Online therapy with video calls, phone sessions, live chat, and text-based messaging offers practical flexibility. Video allows face-to-face conversation, phone calls can fit a short break, live chat is useful for quick check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to keep consistent appointments and use tools in day-to-day life.