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Margo Arrowsmith

LCSW

Experienced therapist for family and eating concerns

  • 40 years experience
  • Focus on family issues
  • Work on eating concerns

About Margo

Margo Arrowsmith, LCSW, offers practical help for people facing family conflict, grief, trauma, depression, compassion fatigue, and eating and food-related issues. She writes plainly and uses her long experience to guide decisions about what to try next. Her style is direct and flexible, focused on what will actually make life easier at home and work.

She draws on 40 years of clinical work and writing to shape sessions. That background led to a book about caring for aging parents and balancing work and home responsibilities. She uses lessons from real family situations to suggest manageable changes, including clearer boundaries and communication habits.

Margo also helps people who struggle with bulimia and overeating through a system she developed over many years. She works with adults who want step-by-step ways to change patterns around food and body image. She combines practical tools with attention to underlying emotions like guilt and shame.

Her practice includes support for people dealing with the long-term impact of childhood abuse, adoption and reunions, hospice and end-of-life concerns, and midlife transitions. She describes therapy as collaborative, adjusting methods to each person’s needs rather than following a single formula.

As an Interfaith Minister who has explored spiritual direction and dream work, she helps clients integrate spiritual beliefs into healing when that is helpful. Margo notes that she has worked well with people in long-term recovery, and that active addiction remains a treatment limitation for her practice.

Therapeutic approaches and how they work online

Many clients benefit from evidence-based techniques that focus on behavior, skills, and meaning. One approach Margo uses addresses disordered eating by identifying patterns, developing concrete strategies for meals and urges, and practicing coping steps that reduce shame and distress. This approach helps people change day-to-day habits and feel more in control around food.

Another strand of her work concentrates on trauma and its long-term effects. In simple terms this means tracking how past hurt shows up now, learning ways to reduce intense reactions, and slowly building safer ways of relating to others. That work can help with symptoms tied to childhood abuse, grief, and post-traumatic stress.

Finding the right approach is part of therapy. Margo treats therapy as a collaborative process and will help figure out which techniques fit a person's goals and preferences. She tailors methods over time rather than sticking to one fixed method.

The biography does not specify which session formats are offered, so confirm current options before booking. Online therapy can make it easier to fit appointments around work and family life, reduce travel time, and allow for shorter check-ins when a full session is not needed. For practical reasons people sometimes choose remote sessions for quieter surroundings, lower bandwidth needs, or to keep work breaks brief. Licensed professionals can discuss which session style will best support your goals during the initial scheduling step.

License and NPI

LCSW North Carolina · No. C001796
NPI1912074113

As shown on the therapist's profile. You can check a license with the state board and an NPI with the national registry.

Areas of expertise

Primary focus

Family conflictsTrauma and abuseGriefDepressionCompassion fatigue

Additional focus areas

Adoption and foster careBody imageCodependencyCommunication problemsEating and food-related issuesGuilt and shameHospice and end-of-life counselingMidlife crisisPost-traumatic stressWomen's issuesWorkplace issues

Experience

40+ years

Credentials

North Carolina

Languages

English

Frequently asked questions

What concerns does she address?

Margo supports people facing family conflict, trauma and abuse, grief, depression, compassion fatigue, and eating and food-related issues. She also helps with adoption and foster care matters, body image, codependency, and workplace problems.

How would you describe her approach in sessions?

She uses a flexible, practical approach that adapts to each person's situation. Sessions focus on clear steps, improved communication, and setting boundaries that fit daily life.

What experience does she bring?

She has 40 years of clinical experience and has written about caring for aging parents. That long practice informs how she helps people manage complicated family roles.

What credentials and location are listed?

She is an LCSW, which stands for Licensed Clinical Social Worker, and she practices in North Carolina.

Which languages are supported and can international clients work with her?

Sessions are offered in English. She is not accepting international clients at this time.

What session formats are available?

The original biography does not list specific session formats. Please confirm current options when you schedule to know which formats are offered.

How are fees and payment handled?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Use the Start Therapy button, complete the short matching questionnaire, and then schedule according to the therapist's availability.

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