Catherine Farmer

Catherine Farmer is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with five years of clinical experience. She works with adults facing stress, anxiety, addictions, trauma and abuse, grief, and major life changes. Catherine also focuses on drug and alcohol addiction, first responder issues, life purpose concerns, midlife crisis, and post-traumatic stress.

She talks through what is happening now and what feels most urgent. Sessions tend to include practical strategies for managing anxiety and stress. Catherine also helps people sort through grief and the effects of trauma, and she supports those coping with substance use concerns.

Her work is trauma-informed and draws on evidence-based techniques. She uses Cognitive Behavioral Therapy to identify patterns of thinking and behavior. Acceptance and Commitment Therapy ideas help clients clarify values and take small, meaningful steps toward them.

Dialectical Behavior Therapy skills are used to teach emotion regulation and distress tolerance. Motivational interviewing supports people who are ambivalent about change, especially around substance use. Narrative approaches help make sense of difficult experiences and build a coherent personal story.

Catherine has experience with first responder stress and understands the repeated demands of crisis-facing roles. She aims for clear, down-to-earth conversation and practical tools people can use between sessions. To begin, clients complete a brief matching questionnaire and schedule an initial session.

Evidence-based approaches and online care

Her practice draws on several evidence-based techniques and explains them in plain terms. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors feed problems and teaches concrete tools to change them, which can help with anxiety, stress, and unhelpful routines. Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and taking small actions aligned with those values, useful for life purpose concerns and motivation issues.

Other methods she uses include Dialectical Behavior Therapy skills for managing intense emotions and motivational interviewing to support readiness for change, especially around substance use. Finding the right mix of approaches is part of the work; the therapist will collaborate with each person to choose methods that fit their goals and preferences rather than following a single fixed protocol.

The biography does not list specific online session formats, so confirm available options before booking. Online sessions can make it easier to fit counseling into a busy week, reduce travel time, and allow shorter check-ins when needed. Different formats also suit different needs - for example, audio-only meetings when connection speed is limited or brief sessions that fit a work break - so confirming the exact session types with the provider will help plan what works best.