Licensed to practice in North Carolina and accepts 9 insurances. Specializes in Anxiety, Emotional Regulation, Life Transitions and 8 more.

Hilary Hales

(she/her)

LCSW, 5 years of experience
No reviews yet

New to Grow

VirtualAvailable

About me

I’ve been a licensed therapist for 5 years, but my perspective is also shaped by a lifetime of real-world experience. I’m an Army veteran, a career military spouse, married 31 years,  have lived throughout the U.S. and Canada, a mother of four, and one of nine siblings—with four brothers and four sisters. These experiences have given me a deep understanding of the complexities of family life, relationships, transitions, and everyday challenges. I’m able to connect with a wide range of family situations and offer practical, relatable, real-time solutions that work in everyday life.

Get to know me

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

I hope after our first session with me, my clients will feel heard and understood. Working with families can be a challenging time and it will be important in your family session for everyone to get a chance to speak and to feel validated.

The biggest strengths that I bring into our sessions

I have learned that sometimes in life you need to sit in silence with someone and then there’s other times when you need to push back and challenge people, I believe my sessions will offer a mixture of your unique strengths with many of the different types of therapy, CBT, DBT, motivational interviewing along with solution focused will be able to help you find what it is you’re looking for.

The clients I'm best positioned to serve

My ideal client can be the new parent a young mom, a teenager, young adult looking for direction or learning new coping skills. I’m looking for someone willing to do hard work to look with and outside the box for strengths. They need or being willing to be challenged on a fixed mindset to learn a new growth mindset, along with coping skills to build a life worth enjoying.

Specialties

Top specialties

Other specialties

Depression

Perinatal / Postpartum

Self Esteem

Identifies as

Serves ages

Teenagers (13 to 17)

Licensed in

Location

Virtual

My treatment methods

Cognitive Behavioral (CBT)

Cognitive Behavioral Therapy (CBT) is a practical, skills-focused form of talk therapy that helps people change unhelpful patterns of thinking and behavior that keep problems like anxiety, depression, stress, or low mood going. The core idea is simple: your thoughts, feelings, and actions influence one another. When you repeatedly interpret situations in overly negative, catastrophic, or rigid ways, those thoughts fuel difficult emotions and lead to behaviors (avoidance, withdrawal, perfectionism, etc.) that often make things worse. CBT teaches you to notice these automatic thoughts, test how accurate or helpful they really are, and develop more balanced alternatives. At the same time, you experiment with new behaviors that break unhelpful cycles. Sessions are structured and collaborative. You and the therapist set clear goals, track specific situations, and practice tools such as thought records, behavioral experiments, problem-solving, and gradual exposure. Homework between sessions is common so the skills become part of daily life rather than something that only happens in the therapy room. CBT is usually time-limited (often 8–20 sessions) and focuses on present-day problems more than distant childhood history. Decades of research show it is effective for many conditions, and the skills you learn can be reused long after therapy ends. People often leave with a clearer understanding of their own mind and practical ways to respond differently when distress arises—leading to reduced symptoms, greater confidence, and improved day-to-day functioning. In short, CBT does not claim to eliminate every difficult feeling. It equips you to relate to those feelings differently so they no longer control your life as much.

Solution Focused Brief Treatment

Solution-Focused Brief Therapy (SFBT) is a short-term, practical approach that helps people create positive change by focusing on solutions, strengths, and preferred futures rather than digging deeply into problems or past causes. The core idea is simple: people already have resources and moments when things go better. Instead of analyzing what is wrong, SFBT helps you notice what is already working, build on those exceptions, and move toward the life you want. As your therapist I see myself as a collaborative partner who asks useful questions and highlights your progress and abilities. Typical tools include the “miracle question” (imagining how life would look if the problem suddenly disappeared overnight), scaling questions (rating progress from 0 to 10 and exploring what a higher number would look like), and searching for exceptions (times when the problem was less intense or absent). Compliments and recognition of small successes are used throughout to build confidence and momentum. The focus stays on the present and future: what you want more of, what small steps you can take, and how you will know things are improving. Homework is often simple experiments that test new possibilities in daily life. Research and clinical experience show SFBT can reduce distress and improve functioning for issues such as anxiety, depression, relationship difficulties, and life transitions. Because it builds on existing strengths, many people leave with a clearer sense of direction, greater hope, and practical strategies they can keep using on their own

Mindfulness-Based Therapy

Mindfulness-Based approaches teach you to pay attention to the present moment with curiosity and without judgment. Instead of getting caught in automatic thoughts, worries, or reactions, you learn to notice them as they arise and gently return your focus to what is happening right now—your breath, body, or surroundings. The basic practice involves simple exercises such as mindful breathing, body scans, or mindful walking. Over time these help you create a bit of space between a difficult thought or feeling and your response to it. You still experience stress, sadness, or frustration, but you become less controlled by them. People often find this leads to greater calm, clearer thinking, and better emotional balance in everyday life. The skills are practical and can be used anywhere, without needing to analyze the past or dig into deep personal history. Regular practice builds resilience so challenges feel more manageable and life feels more grounded.

New to Grow
This provider hasn’t received any written reviews yet. We started collecting written reviews January 1, 2025.