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Therapists answer…

What is therapy like? What does a typical session with you look like?

Lem ScottL

Lem Scott

PMHNP-BC
Online & In-PersonAccepting New Clients
I am a board-certified psychiatric mental health nurse practitioner and the founder of Ash & Bloom Wellness, an integrative psychiatry practice serving adults across North Carolina by telehealth and in person in Raleigh. My work blends careful diagnostic assessment, evidence-based medication management, and practical lifestyle, sleep, and stress interventions so treatment fits the whole person rather than a single symptom list. Clinically, I focus on depression, anxiety, bipolar spectrum disorders, ADHD, trauma-related conditions, and co-occurring mental health and substance use concerns. I provide buprenorphine (Suboxone) treatment for opioid use disorder and harm-reduction informed care for alcohol and other substance use, and I work comfortably alongside therapists and primary care clinicians as the medication management partner in a client's care team. I am doctorally prepared, hold national certification in psychiatric mental health care, and teach in graduate psychiatric nursing education, which keeps my practice current and grounded in the evidence. Visits are unhurried, collaborative, and free of judgment. You can expect clear explanations of your options, honest discussion of risks and benefits, and a plan you help build. New clients can start with a brief consultation to see whether we are a good fit. Private pay and insurance options are both available, and prescriptions are managed responsibly with attention to long-term function, not just short-term relief.
Carol DupreC

Carol Dupre

LICSW
Online & In-PersonAccepting New Clients
Hello! I have worked with diverse populations across all ages and life stages over the past eight years. My focus is on working with self-esteem, mood disorders and trauma-informed care. My experiences allow me to meet you exactly where you are with a grounded perspective, ready to listen and support. I look forward to hearing from you to learn more about you. Meadow Path offers two types of services in Massachusetts: telehealth is available for all of the Commonwealth; and a hybrid option (combining primarily telehealth appointments coupled with structured in-person appointments featuring farm- and nature-based activities) may be available for those who are in the western Massachusetts area. My approach is maintaining an air of curiosity and applying integrative and evidence-based techniques such as CBT, DBT, Mindfulness, and EMDR therapies. I also apply Expressive Arts, Narrative Therapy, and even eco-therapy techniques at times to maintain a sense of innovative exploration to keep our work dynamic. Currently I provide individual therapy services are available for those aged pre-teens and above. With Meadow Path Counseling Services, we strive to provide a compassionate, inclusive, and culturally sensitive space. Together, we will navigate life transitions to process and explore. By focusing on your unique strengths and interests, we’ll work to heal past pains and cultivate a deeper sense of meaning. I take my cue from you, collaborating to ensure we reach your personal goals.
Rebekah WestR

Rebekah West

LCSW
Online & In-PersonAccepting New Clients
My path to becoming a therapist started long before graduate school. As a teenager, I struggled with anxiety and depression and learned firsthand how powerful it can be to have someone simply listen and help make sense of what feels impossible. That experience shaped my belief that no one is ever too far gone—there is always hope and always another day. Helping others see that truth is the most fulfilling part of my work. What I love most about working with my clients is witnessing people reconnect with their strength—often at moments when they feel the most broken or unsure of themselves. I value the trust clients place in me and feel honored to walk alongside them as they process, heal, and grow. Seeing small shifts turn into meaningful change is incredibly rewarding. I believe healing is not about “fixing” what’s wrong, but about understanding yourself more deeply and learning how to move forward with compassion and intention. Therapy is a collaborative process grounded in safety, connection, and curiosity. Growth happens when people feel seen, supported, and empowered to make changes at their own pace. My approach is warm, collaborative, and grounded in evidence-based practice. I draw from evidence-based approaches like CBT (Cognitive Behavioral Therapy), TF-CBT (Trauma-Focused CBT), EMDR (Eye Movement Desensitization and Reprocessing), and DBT-informed skills. But above all, I believe in the power of authentic connection and trust between therapist and client. My role is to walk alongside you—not ahead of you—helping you build insight, skills, and confidence to create meaningful change. Outside of work, I love spending time with my husband, our three cats, and my family. I find joy in traveling, especially with my husband, sharing coffee with friends, and taking mini trips with my mom and sister.