Carol Mayfield, LCSW

Carol Mayfield is a licensed clinical social worker who helps people facing depression, anxiety, stress, addiction, and self-esteem struggles. She works with clients on relationship concerns, grief, career decisions, and coping with big life changes. She also provides an affirming space for LGBTQ+ people and those wanting a religion-neutral or faith-accepting approach. With 36 years of experience, Carol draws on practical, evidence-informed methods to support everyday problems. Sessions focus on clear goals and small, manageable steps. She uses Cognitive Behavioral Therapy alongside mindfulness and acceptance-based ideas to help clients notice unhelpful patterns and try new ways of responding. Her style is warm and straightforward. Conversations are client-centered and paced to each person’s needs. She balances active skill teaching with listening so clients can practice tools between sessions. Carol often integrates parts of Dialectical Behavior Therapy when emotion regulation and crisis skills are needed. Motivational interviewing shapes work around change and addiction challenges, helping people strengthen their own reasons for change. People can expect a collaborative, down-to-earth process that emphasizes building resilience. Carol helps clients translate insight into concrete plans for daily life. She aims to guide people toward more manageable stress, clearer priorities, and greater emotional balance.

How Carol uses practical approaches online

Carol blends Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in brief, clear ways. CBT focuses on identifying unhelpful thought and behavior patterns and practicing alternative responses to reduce distress. ACT teaches noticing thoughts and values-guided action so people can move toward meaningful goals even with difficult feelings.

She also uses Client-Centered Therapy principles to keep the process grounded in the client's priorities. That means listening closely, reflecting what matters to the person, and shaping goals together rather than imposing a plan. Deciding which approach to use is collaborative - the therapist and client try methods, check what helps, and adjust based on what fits the client's goals and preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexible ways to work. Video is useful when visual connection and nonverbal cues matter. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging are helpful for short check-ins, homework support, or when a written back-and-forth feels more comfortable. These options make it easier to fit therapy into a busy life while still applying CBT, ACT, and client-centered practices.