Lance Oldham

(he/him)

LCMHC, 18 years of experience

Clients say this provider is

Solution oriented
Intelligent
Warm
VirtualAvailable

About me

You know what you need to do. So why is it so hard to actually do it? If ADHD, anxiety, or procrastination has you overthinking, falling behind, and feeling far from your best self, you're not lazy and you're not alone. I'm a North Carolina therapist specializing in ADHD, executive function, and anxiety in adults. Many of my clients are thoughtful, capable people who already understand themselves well. What gets in the way is knowing what to do differently when real-life demands, emotions, or old habits take over. I help clients turn insight into action by breaking practical strategies into small, doable steps and working through whatever keeps them from sticking. Sessions are virtual, so therapy fits into a busy life.

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

My biggest strength is helping people turn insight into action. I bring deep experience with ADHD and executive function, including supporting andult professionals, educators, and parents on how these challenges show up in daily life. I pair that with CBT, mindfulness, and a warm, trusting relationship where you feel safe and understood. I'm also a lifelong Star Wars fan, and I see therapy as a kind of Jedi mind training. When Luke can't believe what Yoda just did, Yoda tells him that disbelief is exactly why he fails. Negative beliefs about ourselves are often what hold us back. We won't be lifting X-Wings out of swamps, but we can build the awareness to step back, notice our thoughts instead of getting caught in them, and let go of habits that aren't serving us.

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

Other specialties

Emotional Regulation

Loneliness / Isolation

Serves

Individual Therapy

Identifies as

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 feed anxiety, avoidance, or self-criticism, and practice more flexible ways of responding. For ADHD, I use CBT-based strategies for planning, time management, and follow-through, so you're building systems that work with your brain rather than against it.

Mindfulness-Based Therapy

I use mindfulness to help clients notice thoughts, emotions, and physical responses without immediately reacting to them. Brief exercises can slow things down and create space between an experience and your response to it. This is especially helpful when anxiety, distraction, or emotional reactivity make it hard to stay grounded.

Eclectic

I draw from several evidence-based methods rather than relying on one framework for everyone. CBT and mindfulness are usually the foundation, and I adapt my approach to each person's goals, preferences, and circumstances.

, 8 ratings

3 ratings with written reviews

September 25, 2026

We are working first on trying to resolve my inability to fall asleep, as that would seem to be having a primary impact on my being late to, or even missing, appointments and classes.

Verified client, age 65+
Review shared after session 5 with Lance

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