Alesha Perkins , LCSW

Alesha Perkins is a Licensed Clinical Social Worker (LCSW) licensed to practice in Virginia and North Carolina. She brings more than 20 years of experience in the social work field, including over 15 years focused on providing individual and family therapy.

She has worked in a variety of settings with children, adults, and geriatric populations, addressing concerns such as depression, anxiety, relationship and family issues, self-esteem struggles, addictions, grief, parenting challenges, anger, career stress, bipolar disorder, and coping with life changes. Her background includes supporting people navigating divorce, medical diagnoses, and substance use issues as they pursue practical goals and healthier patterns.

Perkins favors a nonjudgmental, empathetic style that centers each person’s autonomy and strengths. Her clinical approach blends cognitive-behavioral techniques, client-centered principles, motivational interviewing, and solution-focused methods to help clients identify steps toward change and build skills that fit their lives. She aims to be approachable and genuine, creating space for open conversation and collaborative problem solving.

Throughout her practice she focuses on empowering clients to set and achieve personal goals while tailoring interventions to each person’s needs and circumstances.

Therapeutic Approaches and Online Support

Alesha Perkins draws on several practical approaches to help people make progress. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and teaching concrete skills to manage anxiety, depression, and stress. Client-Centered Therapy emphasizes empathy, respect, and collaboration so clients feel heard and supported as they explore goals and values. Motivational Interviewing is a goal-oriented method that helps people resolve ambivalence and strengthen motivation for change, often used for issues like addictions or behavior change.

Finding the right approach is part of the therapeutic process. Perkins works collaboratively with each person to determine which strategies fit their needs, goals, and preferences, adjusting methods over time to support progress.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity through life transitions, and access licensed professionals from home or elsewhere, while allowing the therapist and client to choose the format that best supports the work.