Margo Arrowsmith , LCSW

Margo Arrowsmith brings four decades of clinical work and training to her practice, tailoring her approach to meet each client's needs and circumstances. As a Licensed Clinical Social Worker (LCSW), she combines professional knowledge with practical experience to help families, individuals, and adult adoptees navigate complex issues such as trauma, grief, depression, and compassion fatigue.

She has particular experience helping adult children and their parents build more constructive, respectful relationships, and she has written about caregiving in her book Keep Your Parents Home: Keep Your Job and Life: Save Your Fortune and Sanity, which blends professional guidance with personal experience. The book and related resources are available at keepyourparentshome.com. Her work with families emphasizes clear boundaries, respect for differing needs, and pragmatic strategies that have produced measurable improvements for many clients.

Arrowsmith also supports people whose creative lives have been affected by life circumstances, offering ways to reconnect with writing, painting, and other expressive pursuits. She has developed a focused system for treating bulimia and overeating and has extensive experience helping adults resolve the effects of childhood abuse, demonstrating that meaningful healing can occur at any age. She works with adult adoptees and birth parents on reunion issues when desired.

In addition to clinical training, she serves as an Interfaith Minister and has training in spiritual direction and dream work, integrating clients' spiritual concerns when appropriate. After 40 years in practice, she notes that her work has helped many people rebuild their lives, while she has found limited success in treating active alcoholics and addicts, though she has supported people in long-term recovery in achieving their goals.

Evidence-Based Approaches for Online Care

Margo Arrowsmith uses evidence-based approaches tailored to each person's situation. She applies trauma-focused work to help people process and recover from the effects of childhood abuse and post-traumatic stress, using structured techniques that address symptoms and improve daily functioning. She also offers family-focused therapy that helps adult children and their parents rebuild respectful, practical relationships through clearer boundaries and improved communication. In addition, she has developed a targeted system for treating bulimia and overeating that combines behavioral strategies with supports for long-term change.

Finding the right therapeutic approach is part of the process, and she collaborates with clients to determine what fits best based on their needs, goals, and preferences. Together they review options, try approaches that feel suitable, and adjust course as progress is made.

Online therapy offers flexible access to care through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules and to maintain continuity during life transitions. These remote options allow licensed professionals and therapists to provide consistent support and follow-up while accommodating clients' location and lifestyle needs.