Carol Mayfield, LCSW

Carol Mayfield is a licensed clinical social worker with 36 years of experience. She offers calm, direct support for people facing stress, anxiety, depression, addictions, and low self-esteem. Carol creates an affirming space for LGBTQ+ people and for folks who prefer a progressive, non-religious, religion-neutral, or Christian-accepting approach.

Carol focuses on practical tools people can use day to day. She helps clients build coping strategies for life changes and recover from compassion fatigue. Conversations are guided by what the person needs now, with attention to small, steady steps forward.

Her work mixes client-centered listening with active, evidence-based methods. Carol uses techniques from cognitive behavioral approaches, acceptance and commitment work, mindfulness, and dialectical behavior ideas when helpful. She also uses motivational interviewing to support readiness for change.

Carol aims to make therapy feel understandable and manageable. Sessions focus on goals a person names, whether that means reducing anxiety, addressing addictive patterns, or improving relationships. Progress is tracked in simple, practical ways so people can notice change.

Based in North Carolina, Carol brings decades of practice to each session while keeping the pace matched to the person in front of her. She emphasizes respect for individual values and supports people as they work toward clearer priorities and steadier coping.

How Carol’s Approaches Translate to Online Care

Carol commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. Acceptance and Commitment Therapy (ACT) helps people notice hard thoughts and feelings without getting stuck, then choose actions that match their values. It can be useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and offers tools to change unhelpful cycles, which often helps with stress, low mood, and addictive behaviors.

Finding the right approach is part of the work. Carol will collaborate with each person to decide which methods fit their goals and preferences, and she adjusts techniques as progress is made. That way treatment stays practical and focused on what the client wants to change.

Session formats are not specified here, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy week, shorten travel time, allow quick check-ins between appointments, or use phone-only conversations when video is difficult. Licensed professionals can adapt ACT and CBT tasks to remote sessions, using exercises, short homework, and guided skills practice to keep momentum between meetings.