Steve Scarborough, LPC

Steve Scarborough is an LPC based in Missouri who helps people facing addiction, anxiety, depression, and relationship problems. He also supports people dealing with stress, grief, parenting challenges, and issues around intimacy and self-esteem. He has ten years of experience in clinical work and coaching.

Steve uses clear, direct methods in sessions. He often draws on cognitive behavioral therapy to help people notice unhelpful thoughts and test new behaviors. He also uses acceptance and commitment ideas to help people focus on values and make steady changes.

In sessions he keeps language straightforward and practical. He works with clients to set small goals and try real-life experiments between meetings. Conversations are focused on what is getting in the way now and what needs to change next.

Steve also pays attention to early attachment experiences and how they show up in adult relationships. That perspective helps when patterns of avoidance, abandonment fears, or codependency are present. He blends this understanding with skills training when emotion regulation or impulsivity is a concern.

People looking for support can expect a mix of problem-solving and reflective work. Steve aims to make therapy feel useful from the first few sessions. He helps clients build tools they can use long term while addressing immediate crises and decisions.

How therapeutic approaches translate to online care

Steve commonly uses cognitive behavioral therapy to help people identify unhelpful thoughts and test new behaviors in everyday life. CBT is practical and goal-oriented, which fits well with online sessions where homework and tracking progress are easy to share. Acceptance and commitment therapy is another frequent approach; it focuses on clarifying values and taking meaningful action even when difficult feelings are present, which can help with anxiety, depression, and life transitions.

Finding the right mix of approaches is a collaborative process. The therapist will work with each person to decide which strategies match their goals and preferences, and adjust the plan over time based on what is helping. That way sessions stay focused and relevant to the client’s real concerns.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets therapists and clients use visual cues and practice skills together. Phone sessions can be simpler when bandwidth is limited or when a shorter check-in is needed. Live chat and messaging are useful for brief updates, skill reminders, or when written reflection feels easier. These options make it easier to fit therapy into a busy life and to continue consistent work between meetings.