- Guilt and shame
- Caregiver stress
- Biopsychosocial assessments
About Kierra
Kierra Thurman is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 14 years of experience. She works with adults dealing with stress, anxiety, low self-esteem, depression, and life changes. She also focuses on caregiver stress, feelings of guilt and shame, isolation, questions of life purpose, and self-love.
She uses evidence-based therapeutic techniques to help people talk through what is happening now and find practical ways to cope. Sessions focus on identifying unhelpful patterns, noticing how thoughts and feelings influence behavior, and trying small, manageable changes. She also conducts biopsychosocial assessments to inform treatment planning when that is useful.
Her style centers on clear, direct conversation and steady support. Sessions are client-centered and strengths-based, with attention to goals each person names. Kierra aims to help clients build resilience and skills they can use outside of sessions.
She has worked across a range of settings during her career, which informs how she adapts approaches to fit everyday life. People who come to her for guilt and shame often work on self-compassion, repairing relationships with their own values, and practical strategies for responding differently in triggering situations.
If you are carrying regret or shame about something you did or didn’t do, she offers straightforward help to sort through those feelings and consider next steps. To begin, confirm current session options before booking so you know which formats are offered.
How evidence-based approaches guide online sessions
Evidence-based therapeutic techniques often used to address guilt and shame include cognitive approaches and behavioral strategies. Cognitive approaches help people notice and test thoughts that deepen shame or guilt, and to try different ways of thinking that change how they respond to difficult situations. Behavioral strategies focus on specific actions - small experiments and coping steps - that reduce avoidance and build confidence over time.Another helpful direction is strengths-focused work that highlights what a person already does well and how those abilities can be used when shame or guilt feel overwhelming. This can involve practical goal-setting and checking what works in daily life. Finding the right mix of techniques is part of the work; the therapist and client determine what fits the client’s needs, goals, and preferences together.
Confirm current session formats before booking, as session options are not specified here. Many people find online sessions easier to fit into a busy week, allow for quieter surroundings, or reduce travel time. If you want to try therapy without committing to long trips, ask about the available session formats when you schedule so you can pick what fits your routine.
Areas of expertise
Additional focus areas
Experience
14+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, low self-esteem, depression, and coping with life changes. Additional focus areas include caregiver stress, guilt and shame, isolation, life purpose, and self-love.
How does she approach feelings of guilt or shame?
She uses evidence-based techniques to help people understand and respond to guilt and shame. Work often includes noticing thought patterns, practicing different responses, and rebuilding a sense of self that fits personal values.
What is her professional background?
She has 14 years of clinical experience and has worked in a variety of settings. That background informs how she adapts approaches to everyday life challenges.
What are her credentials and where is she located?
She is a Licensed Clinical Social Worker, LCSW, licensed in North Carolina. Her practice is based in North Carolina.
Does she offer sessions in other languages?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription model that can be canceled at any time. Specific pricing depends on the client’s location.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. Confirm current session options before booking.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.