---
title: "Specialties | NC Telehealth Counseling"
url: https://jamesrevelscounseling.com/specialties
description: "The concerns I work with most across North Carolina by secure video: meaning and midlife, anxiety, depression, grief, trauma, burnout, ADHD and relationships."
lang: en
---

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Specialties

# What people bring me, and how I work with it.

Eight areas I return to most often with adults across North Carolina. They overlap in practice, because people are not filed under one heading.

How to Use This

## Start where it is loudest.

Most people arrive naming one thing and find two others underneath it. Anxiety turns out to be grief with nowhere to go. Burnout turns out to be a question about meaning that has been waiting a decade for an answer.

So read whichever page describes your week most accurately and do not worry about choosing correctly. We sort that out together in the first conversation, and the method follows the person rather than the label. You can see how that works on the approach I take in a session (https://jamesrevelscounseling.com/the-approach).

I do not treat addictions or eating disorders. If either is the primary concern, I will refer you to someone who specializes in it rather than work at the edge of my competence.

Areas of Focus

## Twelve places to begin.

- Therapy for meaning, purpose and midlife (https://jamesrevelscounseling.com/specialties/meaning-purpose-and-midlife)
  Existential grief, questioning, and the disorientation that arrives when the goals run out.
- Therapy for anxiety (https://jamesrevelscounseling.com/specialties/anxiety)
  Chronic vigilance, racing thought, thin sleep, the low hum underneath a competent exterior.
- Therapy for depression (https://jamesrevelscounseling.com/specialties/depression)
  Flatness and the loss of appetite for things you used to want, approached with patience rather than urgency.
- Therapy for grief and loss (https://jamesrevelscounseling.com/specialties/grief-and-loss)
  Separation, death, retirement, the end of a career or an identity. Something to move through rather than get over.
- Therapy for trauma and PTSD (https://jamesrevelscounseling.com/specialties/trauma-and-ptsd)
  Older material that still shapes the present, worked slowly and never faster than you have said yes to.
- Therapy for stress, burnout and life transitions (https://jamesrevelscounseling.com/specialties/stress-burnout-and-life-transitions)
  The cost of holding a demanding life together for a long time, and what a real change of direction asks of you.
- Counseling for ADHD (https://jamesrevelscounseling.com/specialties/adhd)
  Attention that does not run on the schedule everyone around you seems to keep.
- Counseling for relationship difficulties (https://jamesrevelscounseling.com/specialties/relationship-difficulties)
  The same argument, the long silence, and what you are actually doing in the room.
- Counseling for insomnia and sleep (https://jamesrevelscounseling.com/specialties/insomnia-and-sleep)
  When the day ends but vigilance, unfinished thought, and the effort to force rest continue.
- Counseling for anger and irritability (https://jamesrevelscounseling.com/specialties/anger-and-irritability)
  Understanding what anger protects, how the pattern begins, and the impact it has on others.
- Counseling for self-esteem and identity (https://jamesrevelscounseling.com/specialties/self-esteem-and-identity)
  When worth depends on achievement, approval, usefulness, or a role that no longer fits.
- Counseling for chronic illness and health changes (https://jamesrevelscounseling.com/specialties/chronic-illness-and-health-changes)
  The emotional, relational, and identity changes that can accompany a changing body.

Who I Help

## Two groups I am most at home with.

- Counseling for professional artists (https://jamesrevelscounseling.com/who-i-help/artists)
  For people whose work is creative expression, and for whom the pressure and the practice are hard to separate.
- Counseling for athletes (https://jamesrevelscounseling.com/who-i-help/athletes)
  For people who train and compete, and who carry the demands of performance into the rest of their lives.

You can also read who I work with more broadly (https://jamesrevelscounseling.com/who-i-help) and the five core pillars of the approach (https://jamesrevelscounseling.com/the-approach).

## When you are ready, I am here.

A free, confidential 15 to 20 minute conversation. No pressure and no paperwork, just a chance to hear each other out.

Schedule a Free Consultation: https://care.headway.co/providers/james-revels
Send a message: https://jamesrevelscounseling.com/contact

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