Greg Hilgert, LCMHC

Greg Hilgert is a Licensed Clinical Mental Health Counselor (LCMHC) with 23 years of experience helping people manage stress, anxiety, depression, trauma, relationship struggles, and addiction-related concerns. He focuses on practical steps clients can use right away. Greg listens first, then tailors a plan to each person's needs.

Greg draws from cognitive behavioral approaches and client-centered work to change unhelpful thoughts and behaviors. He also uses EMDR for trauma-related symptoms and mindfulness strategies to reduce reactivity. Sessions are collaborative and down-to-earth, with clear goals and homework when that helps progress.

In practice he helps people who are coping with grief, intimacy issues, parenting stress, anger, sleep problems, bipolar mood challenges, ADHD, and compassion fatigue. He also addresses caregiver strain, codependency, communication problems, hoarding, and the fallout from infidelity or betrayal. The focus is on real-life solutions, not labels.

Greg has worked in a range of clinical settings over two decades and brings that breadth to each session. He adapts methods to fit the person sitting across from him so sessions feel relevant and manageable. Expect clear explanations and practical skills to try between meetings.

He practices in North Carolina and offers therapy in English. People who choose his approach often want straightforward tools, help sorting complicated feelings, and guidance in making lasting changes.

How Greg’s Approaches Work Online

Greg often combines cognitive behavioral ideas and client-centered methods. Cognitive Behavioral Therapy, or CBT, focuses on noticing unhelpful thoughts and changing small behaviors to reduce anxiety, depression, and stress. Client-centered work centers the conversation on the person’s own goals and experience, helping people feel heard while they decide what changes to try.

He also uses Eye Movement Desensitization and Reprocessing, known as EMDR, when trauma or disturbing memories are a main concern. EMDR aims to lessen the emotional charge of traumatic memories so they interfere less with daily life. The choice of approach is a joint decision - the therapist will talk through options and adapt methods to the client’s needs and preferences.

Online sessions offer practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging can support quick check-ins, ongoing coaching, or people who prefer typing to talking. These options make it easier to fit therapy around work, caregiving, or busy days while keeping the focus on clear goals and usable skills.