Online Counseling
Accepts International Clients

LPC, VA, LCMHC, CRC David Pugh

Online counseling

Mental health conditions are real, common and treatable.

And recovery is possible.

David Pugh is an experienced, licensed Medical Health Professional who specializes in affordable online therapy.

More about me

Licensing: LPC, VA, LCMHC, CRC
Years in Practice: 21

Licensed Professional Counselor in North Carolina

Licensed Professional Counselor in Virginia


M.A. in Counseling, South Carolina State University - 1994

Counseling Experience

Disability and illness adjustment

Depression, Anxiety and other Mental Health Disorders

Life transitions

Addictive behaviors: alcohol and drug abuse; gambling; compulsive spending

Stress and anxiety management utilizing relaxation techniques and biofeedback

Men’s issues

Issues related to the Military: Mental health: trauma stress, post-traumatic stress disorder, and crisis intervention

Grief and Loss


Children and Adolescents

Counseling Work Settings where I Obtained Experience

Private Practice/Outpatient Counseling

Community Mental Health

Inpatient Hospitals/Acute Hospitalization

Vocational Rehabilitation Services/Workers Compensation

Alcohol and Drug Programs

Correctional Facilities

Department of Social Services

Mental Health – Children's and Adolescent Division

Professional Organizations in Which I Am a Member

American Counseling Association

Counseling Philosophy

I believe that for counseling to be effective, both you and I must be actively involved in developing counseling goals and assessing progress. Efforts to change self-perception, emotions, and behaviors require work both in session and out of session. Some change will occur quickly and easily, but more often change requires slow, deliberate, and repeated efforts. You should be aware that while counseling interventions offer potential benefits, they also present possible risks. Such risks might include uncomfortable feelings of sadness, guilt, anxiety, anger or frustrations as you discuss unpleasant aspects of your life, or experience difficulties with other people as you change. Furthermore, as a result of your personal growth, you might experience feelings of discomfort until you adjust to the changes within and they become a routine part of your life. Nevertheless, weigh the potential risks against the benefits, which might include such assets as gaining insight into your problems, developing coping skills and resources, and changing yourself so that participating in life’s daily activities generally becomes a more positive experience.

Counseling Approach

I think every individual is a unique and a complex being, therefore, the approach I take with your concerns is based on the information you provide and my assessment of your emotional, mental, physical, social, spiritual, economic, and career characteristics. I will need your collaboration as we identify issues that will be worked on in session or what issues may need other resources such as a physician, psychiatrist, or another trusted resource. It is important that we be open and honest with each other in order for appropriate counseling goals to be established. Cognitive-behavioral therapy and the bio-psychosocial counseling approach of mind, body, and spirit in working with the total individual is the basic theoretical foundation of my work with clients. Depending on your individual needs, I will use different methods of therapy. Most sessions will focus on self-awareness, choice, problem solving, and setting goals for the present and future. Other areas of counseling may include focusing

on responsibility, meaning of life, your strengths and limitations, self-concept, acceptance, and change. Outside of session, there may be homework assignments such as journal writing, reading, art or other methods of self-discovery and expression. The process and content of the assignments will be followed up in counseling sessions for the development of self-awareness and healing. I will challenge you in a caring and empathetic manner to look at yourself and seek alternative options and strategies for handling life. I believe a trusting working relationship between counselor and client is important and I strive to achieve that collaboration. I am comfortable working with individuals from diverse cultures and lifestyles and feel being accepting, objective, respectful, and genuine are characteristics essential in working with clients. Overall, counseling is a process in which you the individual gain knowledge and tools that will facilitate continued growth and development after therapy has ended.

About online counseling

Online counseling allows you to receive care from an online mental health practitioner via phone, video chat, or instant messaging. It is convenient for those who may have trouble getting to or would prefer not to have in-person therapy appointments. Ranging from $35 to $80 per week, online counseling is generally more affordable than in-person counseling. A study by researchers at University of California, Berkeley found that online counseling can be just as effective as face-to-face therapy while being more convenient, affordable, and accessible.

Try online counseling with David Pugh

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Stress Anxiety Addictions Relationship issues Family conflicts Depression Grief Intimacy-related issues Parenting issues Anger management Self esteem Career difficulties Bipolar disorder Coping with life changes Coaching
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Reviews for David Pugh

Overall Rating

1 Review
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David is a great counsellor who works with you in a lighthearted, supportive way that enables you to trust his expertise and professionalism and be comfortable from the start. He’s great at suggesting different ways to help with whatever you are going through and is always there to encourage, inspire and support you. Definitely recommended!

G.R.·Aug 10, 2020


David Pugh offers counseling online via BetterHelp

  • Affordable: Pay a low flat fee for unlimited counseling.
  • Convenient: Do it at your own time and at your own pace. Communicate as often as you want and whenever you feel it's needed.
  • Available Now: There is no waiting list and no calls to make. Simply fill out a short questionnaire and send your first message.