Ashley Howell , LCSW

Ashley Howell is a Licensed Clinical Social Worker (LCSW) based in North Carolina with seven years of clinical experience. As an LCSW, she has advanced training in clinical social work and is licensed to provide therapy and counseling to individuals and families.

Ashley works with clients across the lifespan, from young adults to older adults, offering both therapeutic counseling and case management informed by years of work in medical and community settings. She engages with people individually and, when appropriate, with family members or other significant people in a client’s life to support relational concerns and shared challenges.

Her clinical areas of focus include stress, anxiety, grief, self-esteem difficulties, depression, compassion fatigue, family and career issues, and coping with life changes. She also provides support for aging and geriatric concerns, cancer-related issues, caregiver stress, chronic illness and pain, communication problems, anticipatory grief and bereavement, hospice and end-of-life counseling, isolation and loneliness, life-purpose exploration, obsessive-compulsive concerns, panic disorder, and post-traumatic stress.

Ashley draws from evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing, mindfulness-informed work, and client-centered therapy, and she brings experience with grief-focused interventions. She emphasizes listening, practical resources, and collaborative planning to help people develop coping skills and move toward meaningful change.

Therapeutic Approaches and Online Care

Ashley uses Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy alongside mindfulness-based techniques to support people remotely. CBT helps clients identify and shift unhelpful thinking and behavior patterns, making it useful for anxiety, depression, panic, and obsessive-compulsive concerns. Client-Centered Therapy focuses on empathy and a nonjudgmental therapeutic relationship to explore feelings, strengthen self-esteem, and support decision-making. Mindfulness approaches introduce practical attention and grounding skills to reduce stress and improve emotional regulation.

Choosing the right approach is a collaborative process. Ashley works with each person to understand their goals, strengths, and preferences, and then tailors interventions so the work fits the individual’s needs. That collaborative exploration helps determine which methods to emphasize and how to pace therapy.

Online therapy offers flexibility in how people connect - by video calls, phone sessions, live chat, or text-based messaging - which can make it easier to fit counseling into busy lives or manage mobility and geographic constraints. These options allow ongoing therapeutic work with licensed professionals while maintaining a focus on accessibility and consistent support.