- Family relationships
- Trauma and abuse
- Guilt and shame
About Margo
Margo Arrowsmith is an LCSW (Licensed Clinical Social Worker) with 40 years of experience based in North Carolina. She works with adults facing family conflict, trauma and abuse, grief, depression, compassion fatigue, and related concerns such as guilt and shame. Her practice focuses on practical steps people can take to change patterns that cause ongoing distress.
She adapts her methods to the person and situation rather than using a single fixed model. She has long experience helping adult children and parents improve communication and set clearer boundaries. She is the author of Keep Your Parents Home: Keep Your Job and Life, which mixes practical advice with personal experience caring for an elder at home.
Margo also works with people who want to recover creative capacities that life events interrupted, such as writing or painting. She has developed a system for addressing bulimia and overeating and supports adults dealing with the aftereffects of childhood abuse, including later-life work on long-standing trauma.
She brings experience helping adult adoptees and birth parents navigate reunions and related emotions. As an interfaith minister trained in spiritual direction and dream work, she integrates conversations about spiritual life when clients want that included.
Across decades of practice she aims to help people clarify boundaries, reduce harmful patterns, and apply concrete strategies. She notes that her approach has not been successful with active alcoholics and addicts, but she has worked well with people who have long-term sobriety and want to rebuild their lives.
Approaches she uses and how online sessions work
She draws on evidence-based therapeutic techniques and adjusts them to what each person needs. One approach she uses focuses on processing traumatic memories by helping people tell the story at a pace they can tolerate and reduce the ways the past controls present behavior. This helps with post-traumatic stress and long-standing abuse effects.Another common focus is practical behavioral work that targets patterns like overeating or bulimic behaviors. This approach breaks problems into manageable steps, sets small goals, and tracks progress to reduce harmful habits and improve eating-related routines.
Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or has not worked in the past, then try methods that fit those needs. Adjustments are made over time based on what helps most.
The biography does not list specific online session formats, so confirm available formats before booking. Online sessions can make it easier to fit therapy around work and family life, allow shorter check-ins when needed, and avoid travel time. Licensed professionals can use different formats to match practical needs, and the therapist will discuss which option fits a client’s schedule and circumstances.
Areas of expertise
Primary focus
Additional focus areas
Experience
40+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with family conflict, trauma and abuse, grief, depression, compassion fatigue, and related issues such as guilt and shame.
How does she approach therapy?
She adapts methods to each person and situation, using practical steps rather than a single fixed model.
How much clinical experience does she have?
She has 40 years of clinical experience working with adults in a range of concerns.
What credential does she hold and where is she based?
She is an LCSW licensed in North Carolina and practices from that state.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she is not currently accepting international clients.
What session formats are available?
Session formats are not specified in the biography; please confirm current session options before booking.
How are sessions priced?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.