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- Stress and anxiety
- Family conflict
- Self esteem work
About Michael
LCSW licensed in North Carolina, Michael Pesant has 15 years of clinical experience helping people manage stress, anxiety, depression, and issues with self-esteem. He supports clients dealing with family conflict, life changes, and concerns about control, divorce and separation, forgiveness, guilt and shame, and life purpose. Michael works in both English and Spanish.
Michael approaches sessions from the perspective that the client is the expert in their own story. He looks for strengths clients already have and uses those strengths to address problems that feel overwhelming. Conversations focus on practical steps, clearer thinking about choices, and small changes that make daily life easier.
With people facing separation or heavy relational stress, he talks through options and coping strategies rather than assigning a single path forward. For anxiety and stress he helps identify patterns that increase worry and introduces straightforward practices to reduce their impact on daily routines.
He also works on identity and purpose concerns, helping people clarify values and take steps that match those values. When guilt or shame are central, sessions give space to name those feelings and consider how to move beyond them.
Michael’s style is practical and respectful. He focuses on what can be done now and what to try between sessions. To start, he asks people to describe their immediate concerns and what they hope to change over the coming weeks.
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How therapeutic approaches guide remote sessions
Michael uses evidence-based therapeutic techniques that emphasize clear steps and practical skills. One common technique focuses on recognizing patterns that increase stress and anxiety and then testing small behavior changes to reduce their hold. This helps when worry or tension interrupts daily routines.Another approach centers on values and life purpose, helping people name what matters and align actions with those priorities. That work is useful for people facing big changes or questions about direction after a separation or loss.
Finding the right approach is part of the work. The therapist will assess needs, goals, and preferences together with the client and recommend methods that fit the problem and the person. This is a collaborative process and plans are adjusted as progress is made.
Confirm the available session formats before booking, since formats are not listed here. Many people find that remote sessions make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when needed. Others appreciate being able to continue work during a period of relocation or schedule change. Licensed professionals can adapt techniques to the session type you choose, and the focus remains on practical steps you can try between meetings.
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Areas of expertise
Primary focus
Additional focus areas
Experience
15+ years
Listed in
North Carolina
Languages
English, Spanish
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Frequently asked questions
What concerns does he address?
He works with stress, anxiety, depression, and self-esteem issues, plus family conflict and coping with life changes.
What is his therapeutic style?
He treats clients as experts in their story and focuses on practical steps and building on existing strengths.
How much clinical experience does he have?
He has 15 years of professional work experience in social work settings.
What are his credentials and where is he based?
He is an LCSW licensed in North Carolina and practices from that state.
Which languages are supported?
Sessions are offered in English and Spanish.
Can international clients work with him?
He does not accept international clients at this time.
How are sessions billed?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.