Margo Arrowsmith , LCSW

Margo Arrowsmith is a licensed clinical social worker with 40 years of experience helping people navigate family conflict, trauma and abuse, grief, depression, and compassion fatigue. She focuses on women's issues alongside concerns like adoption and foster care, body image, eating and food-related struggles, and workplace stress. Her plainspoken approach aims to make difficult topics easier to discuss.

She adapts methods to each person's needs rather than using a single fixed style. That can mean practical steps for improving communication, boundary-setting with parents or adult children, or targeted strategies for eating concerns. She also works with people facing hospice and end-of-life decisions and with those managing guilt, shame, or midlife transitions.

Margo has written a book about caring for aging parents that mixes professional guidance with personal experience. That background informs how she helps people balance caregiving duties with work and family responsibilities. She also supports adult adoptees and birth parents through reunion and identity questions.

Her work includes treating post-traumatic stress from childhood abuse and other trauma across the lifespan. She believes healing can occur at any age and often combines talking and practical exercises to move toward clearer choices and better daily functioning.

An ordained interfaith minister with training in spiritual direction and dream work, she can help clients bring spiritual concerns into therapy when relevant. Sessions may include writing or creative exercises for people whose life circumstances have blocked their creative work.

How evidence-based methods translate to online care

Many of the tools Margo uses come from evidence-based therapeutic techniques that focus on behavior change and emotional processing. One common approach involves structured problem-solving and communication skills to help people reduce family conflict and improve boundaries - useful for strained relationships with parents or adult children. Another approach centers on trauma-focused work that helps people process painful memories and reduce their impact on daily life, which can aid recovery from childhood abuse and post-traumatic stress. She also applies targeted strategies for disordered eating that address patterns around bingeing and overeating and teach alternative coping skills.

Choosing the right approach is part of the work together. The therapist and client review current needs, goals, and preferences and try methods that fit those concerns. That collaborative process allows adjustments over time so therapy stays practical and relevant.

Online therapy offers flexibility for people juggling caregiving, work, or health needs. Video calls let conversations feel more like in-person visits, phone sessions use less bandwidth and can be easier during busy days, and live chat or text messaging are useful for brief check-ins or when writing out thoughts helps. These options make it easier to fit consistent care into a crowded schedule while still using evidence-based techniques.