Reality Therapy / Choice Theory therapists in Salisbury, NC
Browse Reality Therapy / Choice Theory therapists in Salisbury, North Carolina. Compare credentials, specialties and therapeutic approach. Contact a therapist to learn more.
Reality Therapy
Jess Clodfelter
Counselor/Therapist, MS, LCMHC, LPC, NCC, CCTP-II
You don’t need another space where someone nods at you and hands you a worksheet you’ll never use — and you definitely don’t need one where you have to explain or defend who you are. I provide gender-affirming therapy for adults across North Carolina and South Carolina, working primarily with trans, nonbinary, and queer folx navigating identity exploration, dysphoria, and the very real stress of existing in a world that doesn’t always get it. My work is trauma-informed and attachment-based, helping you make sense of patterns like overthinking, burnout, people-pleasing, and relationship cycles without pathologizing the hell out of you. This is a space that’s collaborative, honest, and actually feels human — where we unpack what’s keeping you stuck and build something that fits you better. If you’re looking for therapy that’s affirming, real, and a little more direct than the usual, you’re in the right place — go ahead and reach out.
12 Years Experience
Online in Salisbury, NC (Online Only)
Reality Therapy
Thomas Coogan
Licensed Mental Health Counselor, LCMHC
What makes my therapy practice stand out is my commitment to understanding and supporting you as an individual. I tailor each session to your unique needs, using evidence-based techniques and genuine empathy to ensure you feel heard and valued. By creating a safe, nonjudgmental space, I empower you to explore your challenges, develop new skills, and achieve lasting positive change.
20 Years Experience
Online in Salisbury, NC
Reality Therapy
Bethany Middleton
Licensed Mental Health Counselor, LCMHC, NCC
I strive to provide a person-centered approach while challenging you to achieve your desired outcomes. We will focus on emotional regulation, healthy coping skills, and overall personal growth. I specialize in women issues, parenting skills, relationship struggles, crisis management, and overall well-being.
14 Years Experience
Online in Salisbury, NC (Online Only)
Reality Therapy
Barbra Rogoff
Licensed Clinical Social Worker, LCSW
I believe that, with a little help, anyone can move past obstacles, achieve their goals, and experience a more fulfilling life. While we can’t prevent difficulties from arising, we can work together to better understand and overcome them. My goal is to help you discover your true self and the life you desire. I'm ready when you are.
19 Years Experience
Online in Salisbury, NC (Online Only)
Reality Therapy
Dr. Rosy Saenz-Sierzega
Psychologist, PhD, MA, NBCC
Life is hard, and sometimes life gets messy. Relationships get complicated, emotions get overwhelming, and even when you know something needs to change, you may not know where to start. That's where therapy can help.
My goal is not simply to give you a place to vent (although there is certainly a time and place for that!). I want to help you understand why you're feeling the way you do, identify the patterns that are keeping you stuck, and figure out what you can actually do differently. Therapy should give you insight, but it should also give you tools you can use in real life- to make life easier.
I work with individuals and couples experiencing a wide range of emotional concerns, including anxiety, depression, anger, grief, fear, jealousy, negativity, and feeling overwhelmed or confused. I also have extensive experience working with compulsive and addictive behaviors, including sex and love addiction, codependency, and impulsive behaviors.
Relationships are another major area of my practice. I help people work through conflict, communication problems, infidelity, broken trust, intimacy concerns, breakups, and relationship recovery. I also offer premarital and pre-divorce counseling for couples who want to make thoughtful decisions about their future rather than simply react to what's happening in the moment.
I also work with families who have reached an impasse—situations where communication has broken down, hurt and resentment have accumulated, or family members simply cannot seem to agree on how to move forward. Sometimes everyone involved has a different version of what happened, and everyone feels justified in their position. My role is not to decide who is right or wrong, but to help family members communicate more effectively, understand one another's perspectives, establish healthier boundaries, and determine whether there is a path forward. When families have been stuck for a long time, even finding a way to have a productive conversation can be meaningful progress.
I work with social and personal issues as well, including assertiveness, self-esteem, external validation, peer pressure, bullying, communication, forgiveness, and other challenges that can make it difficult to feel confident and comfortable in your own life.
My approach is primarily Cognitive Behavioral Therapy (CBT) and solution-focused therapy. In practical terms, that means we'll look at the connection between your thoughts, feelings, and behaviors while focusing on what can be changed moving forward. I don't believe you need to spend years analyzing every detail of your past in order to make meaningful progress. Understanding where your patterns came from can be helpful, but learning how to change them is what ultimately creates a different future.
Therapy isn't about being perfect, and it's definitely not about pretending that problems don't exist. We all make mistakes, get stuck in unhealthy patterns, and occasionally make choices we wish we could take back. The important part is what you do next.
My job is to help you move from feeling stuck, overwhelmed, or uncertain toward greater clarity, healthier relationships, and a stronger sense of control over your life. You don't have to have everything figured out before you walk through the door. That's part of what we're here to figure out together.
19 Years Experience
Online in Salisbury, NC
Reality Therapy / Choice Theory therapists in Salisbury, NC Statistics
Reality Therapy / Choice Theory therapists in Salisbury, NC average 15 years of experience and charge around $193 per session. 100% offer online sessions. The most commonly treated issues are Stress (86%), Anxiety or Fears (79%), and Depression (79%).
Average years in practice
15 Years Experience
Average cost per session
$193
Accept insurance
64%
Offer sliding scale
36%
Gender ID
| 50% |
Female |
|
| 33% |
Male |
|
| 11% |
Non-Binary |
|
| 6% |
Gender Fluid |
|
Session Type
| 64% |
Online Only |
|
| 36% |
In Person and Online |
|
Top Specialties
| 86% | Stress |
| 79% | Anxiety or Fears |
| 79% | Depression |
| 79% | Trauma and PTSD |
| 71% | Self Esteem |
| 64% | ADHD |
| 57% | Loss or Grief |
Ages Served
| 100% | Adult |
| 79% | Young Adult |
| 64% | Senior |
| 57% | Teen |
| 36% | Children |
Client Focus
| 57% | Women |
| 50% | Military / Veterans |
| 43% | LGBTQ+ |
| 43% | Men |
| 36% | Black / African American |