Tammera Carbo , LCMHC, LMHC

Tammera Carbo is a licensed counselor based in North Carolina with 33 years of clinical experience working across inpatient, residential, outpatient, and school settings. She holds the credentials LCMHC and LMHC - LCMHC stands for Licensed Clinical Mental Health Counselor and LMHC stands for Licensed Mental Health Counselor - and brings a long history of supporting people through a wide range of life challenges.

Her work has addressed stress and anxiety, grief, anger, depression, ADHD, addictions, relationship and family concerns, trauma and abuse, intimacy-related issues, parenting challenges, and self-esteem struggles. She also provides support for career transitions, coping with life changes, coaching needs, and compassion fatigue, and focuses on communication problems, family of origin issues, first responder concerns, forgiveness, guilt and shame, isolation and loneliness, and women's issues.

Tammera primarily uses research-informed approaches such as Cognitive Behavioral Therapy while integrating client-centered, narrative, and solution-focused elements as appropriate. She aims to explore how thoughts, feelings, and behaviors interact and to offer practical interventions that promote adaptive change. When desired by a client, she can also integrate faith-based perspectives into the counseling process. Her practice emphasizes respectful collaboration and tailored strategies to address each person's presenting concerns.

Therapeutic Approaches and Online Care with Tammera Carbo

Tammera Carbo draws on Cognitive Behavioral Therapy to help clients identify and shift unhelpful patterns of thinking and behavior; this approach is often used for anxiety, depression, stress, and behavioral concerns. She also uses Client-Centered Therapy, which emphasizes empathetic listening and collaboration to support self-exploration and strengthen self-esteem and coping in the face of life transitions. Narrative Therapy is another tool she employs to help clients reframe personal stories and separate problems from identity, which can be particularly useful for grief, trauma, and relationship issues.

Choosing the right approach is a collaborative process. Tammera works with clients to assess needs, goals, and preferences, and she tailors interventions accordingly rather than relying on a single method. This cooperative stance helps ensure that therapy fits each person’s situation and values.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and communication styles. These formats make it easier to maintain continuity of care during busy periods or life changes, and they allow licensed professionals to deliver consistent therapeutic support across a range of concerns.