Midge Spong
Compassionate, practical support for life transitions
LCSW North Carolina
- Experience
- 10 years in practice
- Focus areas
- Stress, Anxiety, Grief, Self esteem
- Approaches
- Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
- Languages
- English
About Midge
Midge Spong works with adults seeking practical support for stress, anxiety, grief, self-esteem, career decisions, and life transitions. She accepts international clients and offers a range of remote session types to accommodate varying schedules and needs.
Background and approach
Her approach is collaborative and goal-oriented, aiming to identify strengths clients already possess and build steps toward meaningful change. As a Licensed Clinical Social Worker (LCSW) with ten years of clinical experience, she combines talk-based care with coaching methods to help clients clarify values and set achievable goals.
She draws on techniques from cognitive behavioral therapy to address unhelpful thinking patterns and from client-centered approaches to ensure people feel heard and respected. Motivational interviewing and solution-focused strategies are used when the focus turns to decision-making and practical problem solving.
Clients who work with Midge can expect a conversational style that balances empathy with concrete tools. She often helps people reframe challenges, recognize overlooked strengths, and translate insights into actionable steps for career planning, health and retirement decisions, family or parenting concerns, and coping with grief or change.
Practical approaches for online change and growth
Client-centered therapy emphasizes understanding and empathy, giving clients space to tell their story without judgment while the therapist reflects and supports growth. Cognitive behavioral techniques focus on identifying and changing unhelpful thought patterns and behaviors, which can be useful for managing anxiety, stress, depression, and coping with life changes.Selecting the right approach is a collaborative process. The therapist works with each person to explore goals, preferences, and what feels most helpful, adjusting methods over time so sessions stay aligned with the client’s priorities and progress.
Online sessions offer flexibility through video calls, phone appointments, live chat, or text-based messaging, making it easier to maintain consistency amid busy schedules or geographic distance. These formats support ongoing work on skills, goal planning, and problem solving while allowing clients to choose the communication style that fits their daily life.
Frequently asked questions
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Licensed
North Carolina
Languages
English