Licensed to practice in North Carolina and accepts 27 insurances. Specializes in ADHD, Anxiety, Coping Skills and 3 more.

Lance Oldham

(he/him)

LCMHC, 18 years of experience

Clients say this provider is

Warm
Authentic
Solution oriented
VirtualAvailable

About me

I work with adults who are capable, responsible, and hard-working—but feel like they’re struggling to keep up with everything life demands. Many are dealing with ADHD, anxiety, overwhelm, procrastination, or difficulty following through, even when they know what they want to do. If you often think, “I know what I need to do—I just can’t seem to make it happen,” therapy can help bridge that gap. I take a practical, yet empathetic and collaborative approach focused on understanding your experience and what may be getting in the way. Outside of therapy, I’m a parent, fiction writer, guitarist, and Korean-language learner. I believe meaningful change happens through curiosity, practice, and small, sustainable steps.

Get to know me

In our first session together, here's what you can expect

Our first session is a chance to get to know each other and understand what has brought you to therapy. We’ll talk about what you’re experiencing, what you would like to change, and what has or hasn’t been helpful in the past. I’ll ask questions and listen carefully so we can begin making sense of what’s going on. We don’t need to figure everything out in one session. My goal is for you to leave feeling heard, understood, and with a clearer sense of where we can begin.

The biggest strengths that I bring into our sessions

One of my greatest strengths as a therapist is helping people turn insight into action. Many clients have already spent a great deal of time thinking about their challenges and may understand themselves quite well, or not. The difficulty is knowing what to do differently when real-life demands, emotions, or old habits get in the way. Developing a trusting relationship through acceptance, authenticity, and a safe space, I help clients identify what is getting in the way and find approaches that feel realistic rather than overwhelming. With over 18 years of experience, I bring a structured but supportive presence to therapy while respecting that meaningful change looks different for each person.

The clients I'm best positioned to serve

My ideal clients are individuals who feel stuck in patterns of overthinking, stress, difficulty following through on goals, or not feeling like they are functioning as their best self. Many struggle with anxiety, ADHD, procrastination, or feeling mentally overwhelmed by responsibilities at work or in life. They are often thoughtful and capable people who want practical strategies and compassionate understanding in order to better manage their thoughts, emotions, and daily demands. They may have tried to solve these challenges on their own and are now looking for guidance, structure, and support to move forward more effectively.

Specialties

Top specialties

ADHD

Anxiety

Other specialties

Identifies as

Serves ages

Licensed in

Location

Virtual

My treatment methods

Cognitive Behavioral (CBT)

I use CBT to help clients examine the connection between thoughts, emotions, and behaviors. Together, we look at thinking patterns that may be contributing to anxiety, avoidance, self-criticism, or other difficulties. CBT provides a structured way to test new perspectives and develop more flexible ways of responding to challenges.

Mindfulness-Based Therapy

I incorporate mindfulness techniques to help clients notice thoughts, emotions, and physical responses without immediately reacting to them. Brief mindfulness exercises can be useful for slowing down, increasing awareness, and creating more space between an experience and our response to it. This can be particularly helpful when anxiety, distraction, or emotional reactivity makes it difficult to stay grounded.

Eclectic

I take an eclectic approach, drawing from different evidence-based methods rather than relying on one framework for every client. CBT and mindfulness often provide a foundation, but I adapt my approach based on each person’s goals, preferences, and circumstances. This allows therapy to remain individualized while drawing on approaches that are supported by research.

, 7 ratings

2 ratings with written reviews

August 7, 2026

Lance is a great listener and asks questions pertinent to my immediate issues. He validates thought processes where they are healthy and probes where I need work.

Verified client, age 55-64
Review shared after session 3 with Lance

August 4, 2026

I found this provider, Grow, when I gave up on the waiting lists of the local offices where I had my name down, and threw open a broad Google search for "Therapists in Winston Salem." Mr. Oldham was highly recommended and had 18 years of experience, and a specialty working with ADHD, which I have. He is a good listener and has a pleasant demeanor. I feel cautiously confident that I will be able to make improvement to my mental and emotional state with his help.

Verified client, age 65+
Review shared after session 1 with Lance