Jamie Peckous, LCSW

Jamie Peckous is a licensed clinical social worker (LCSW) in North Carolina with 12 years of experience. She focuses on stress, anxiety, depression, self-esteem, grief, parenting, and life changes. Jamie works with people navigating career shifts, postpartum challenges, and issues related to adoption and foster care. She offers straightforward support and practical steps to help clients move forward.

Her approach uses Cognitive Behavioral Therapy to identify unhelpful thinking and change behaviors that get in the way. She also draws on Motivational Interviewing to build momentum when motivation feels low. Narrative Therapy and Solution-Focused Therapy help clients reframe their stories and set achievable goals.

Sessions focus on clear goals and doable strategies. Jamie helps people break big problems into small steps. She listens for strengths and uses those strengths to plan realistic changes. Many clients work on easing anxiety, improving communication, and coping with grief.

Jamie values collaboration and clear next steps. She helps clients track progress and adjust plans when needed. Her style is direct and encouraging, aiming to make therapy practical and easy to follow.

She provides services to English-speaking clients in North Carolina. Online options are available through video, phone, live chat, or text-based messaging. The first step is a short matching questionnaire and scheduling through the Start Therapy button.

Practical approaches for online therapy and change

Jamie uses Cognitive Behavioral Therapy to help people spot patterns of thinking that increase stress and anxiety, and then replace those habits with more helpful thoughts and behaviors. Motivational Interviewing is used when someone feels stuck or unsure about change; it focuses on building the reasons and confidence to move forward.

Deciding on an approach is a team effort. Jamie will talk with each person about their goals and preferences, then try methods that fit those needs. She adjusts techniques over time based on what is working and what is not, so the plan evolves with the client.

Online therapy offers flexibility in how sessions happen. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a good shorter option or when bandwidth is limited. Live chat and text-based messaging let people check in between sessions or use written reflection when that feels easier. These formats make it simpler to fit therapy into busy schedules and continue work between meetings.