Pamela Fox, M.A., LCMHC, ADHD-CCSP

Licensed Clinical Mental Health Counselor

If you’re feeling stuck, overwhelmed, or unsure how to navigate challenges in your life, therapy can provide a safe, supportive space to make sense of what’s happening and explore ways forward. You may be struggling with anxiety, depression, trauma, difficulty managing emotions, or patterns that keep repeating in relationships or daily life. Therapy can help you gain clarity, develop practical coping strategies, and build confidence in managing life’s ups and downs.

I work primarily with teens and adults, offering both in-person and virtual sessions across North Carolina. With over 20 years of experience across community, school, and private settings, I have supported clients through individual, family, and group counseling, as well as crisis situations. My background allows me to approach therapy in a way that is informed, collaborative, and flexible, tailoring each session to meet your unique needs, goals, and pace.

My approach is holistic, trauma-informed, and strengths-based. I emphasize creating a space where you feel safe, respected, and understood, and I draw from a variety of evidence-based and creative techniques. Depending on your needs, therapy may include cognitive-behavioral strategies, trauma-focused interventions, solution-focused approaches, motivational interviewing, and creative methods like art and play. These tools help clients explore challenges, gain insight, and develop strategies that promote personal growth and meaningful change.

I am passionate about helping clients feel empowered in their lives. Over the years, I have worked with a wide range of individuals, families, and communities, valuing diversity and the unique strengths each person brings. My training and certifications include Trauma-Focused CBT, Cognitive Processing Therapy, Gottman Level 1, ADHD-CCSP, and other evidence-based approaches that guide therapy in a practical and supportive way.

Areas of support include:
Anxiety and chronic worry
Depression and mood-related concerns
Anger and emotional regulation
Trauma and PTSD
Grief and loss
Obsessive-compulsive concerns
Self-esteem and identity exploration
Self-harming behaviors
Autism

ADHD
Parenting concerns
Gender identity and transgender-affirming care

I offer therapy both in person and online to clients across North Carolina and online only in Missouri.

What’s it like to work together?

1. GET TO KNOW EACH OTHER 

I want to get to know you! Tell me what you like to do for fun, who your people are and what you hope to get from the therapy process. We’ll talk about what you’ve tried before, what’s working, what’s not, and what matters to you most.

2. FIND WHAT FEELS GOOD

We explore the things that help you feel better when you are under stress, facing a difficult memory, and just having a bad day. There are many approaches to help yourself feel better and we can work together to find the ways that work best for you.

3. LOOK AT YOUR STORY

We start with early life and childhood, as it forms how you see the world and how you see yourself. Then we run through the important events in your life as if they were on a timeline or chapters in a book. We consider how they impact you in the present. This helps us pinpoint what we want to focus on in the processing phase. It could be things from the past, stuff you are dealing with today, or worries about the future.

4. PROCESSING WHILE USING AN INDIVIDUALIZED TREATMENT PLAN

We will work together to come up with a treatment plan that is tailored to your needs and uses evidenced based practices to help work through the trauma or pain you have been carrying. I will guide you through noticing the feelings, beliefs, body sensations, and images associated with your difficult experience(s). 

5. REFLECTION & WRAP UP

We will look back on our work together. Reflect on the process and what has been most meaningful to you. Check in to see if we accomplished everything you had hoped for. Celebrate all your hard work and breakthroughs!

I know how important it is to find a therapist that gets you. That's why I offer a complementary 15 minute consult so we can get to know each other and determine if I am the right fit for you.