- Stress and anxiety
- Forgiveness work
- Trauma informed care
About Meagan
Meagan Koch is a Licensed Professional Clinical Counselor (LPCC) and a Licensed Clinical Mental Health Counselor (LCMHC) with 17 years of experience. She practices in North Carolina and works with stress, anxiety, relationship difficulties, family conflict, self-esteem struggles, and coping with life changes.
She helps people who are carrying guilt or shame, including those processing forgiveness or the impact of past abuse. Meagan also supports people facing divorce and separation and those struggling with attachment issues. Her background includes trauma-informed care and work with survivors of sexual assault and abuse.
Meagan frames therapy as a collaborative effort. Sessions focus on listening, clarifying what matters most, and building practical steps to manage emotions and relationships. She talks through patterns that keep people stuck and practices concrete ways to shift them.
She is experienced in attending to issues tied to gender and faith and notes working with people who bring Christian perspectives into therapy. Meagan also has experience supporting older adults and the life questions they face.
Her style is direct and steady. Meetings tend to focus on the next small change rather than long theoretical discussion. People meet to name the problem, try new ways of responding, and check what worked between sessions.
Therapeutic approaches and working online
Trauma-informed care means the therapist pays attention to how past hurts affect current feelings and reactions. This approach helps when guilt, shame, or past abuse make it hard to trust your own responses. It focuses on safety, pacing, and noticing what triggers strong emotion so you can build different responses.She also uses practical, evidence-based techniques that focus on behavior and thought change. These methods help with anxiety, stress, and rebuilding self-esteem by testing beliefs in small steps and practicing new ways to respond in relationships.
Choosing the right approach is something the therapist will do together with each person. She will listen to your goals, describe options, and try methods that fit your needs and pace. That collaborative work helps decide whether to focus more on processing past events or on building skills for day-to-day coping.
Confirm current session options before booking since formats are not listed here. Online work can make it easier to fit sessions around work, family, or other obligations. It can also allow for shorter check-ins, sessions without video, or scheduling across different parts of the day depending on what the therapist offers.
Areas of expertise
Primary focus
Additional focus areas
Experience
17+ years
Listed in
California, Florida, North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, relationship struggles, family problems, self-esteem, and coping with life changes. Additional focuses include attachment issues, divorce and separation, forgiveness, guilt and shame, sexual assault and abuse, and women's issues.
How would she approach shame or guilt in sessions?
She uses a trauma-informed, collaborative approach that begins with listening and naming what keeps someone stuck. Sessions tend to combine talking through patterns with practical steps to shift feelings and behaviors.
How much experience does she have?
She has 17 years of clinical experience working with the concerns listed above.
What are her credentials and where is she based?
She holds LPCC and LCMHC credentials and practices in North Carolina. The credentials are listed as CA LPCC and NC LCMHC in her professional details.
Which languages are offered for sessions?
Sessions are offered in English.
Can people outside the US work with her?
International clients are not currently accepted.
How are sessions billed and what does cost look like?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to 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.