Above The Tides Counseling, LLC
Supporting Those Who Spend Their Lives Supporting Others
At Above the Tides Counseling, I specialize in supporting healthcare professionals, nurses, EMTs, first responders, educators, military personnel, veterans, federal employees, family caregivers, and those caring for loved ones receiving hospice or end-of-life care.
Whether you're navigating burnout, compassion fatigue, caregiver exhaustion, anticipatory grief, loss, workplace stress, moral injury, anxiety, trauma, or the emotional weight of constantly being the person others depend on, therapy offers a space where you don't have to be the strong one.
I recognize the unique challenges of balancing professional responsibilities, family obligations, caregiving demands, and your own physical and emotional well-being. For those supporting aging parents, chronically ill family members, or loved ones approaching the end of life, therapy can provide a compassionate space to process grief, guilt, uncertainty, and the often-overlooked emotional toll of caregiving.
Through a neurodivergent-affirming, trauma-informed, and culturally responsive approach, I help you process difficult experiences, establish healthier boundaries, navigate life transitions, reconnect with your identity beyond your responsibilities, and prioritize your own needs without guilt.
You spend so much of your life caring for others. You deserve care, compassion, and support, too.
Insurance accepted | Reduced self-pay rates available
Above the Tides Counseling | abovethetides.com
Serving North Carolina, South Carolina, Virginia, Utah, and Maine
Inclusive, affirming, individualized care | 18+ years of clinical experience | Insurance and self-pay options available
-Meagan Barksdale, MAED, MSW, LCAS, CCS, LCSW
Rise Above The Tides*
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Rise Above The Tides* *
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One on one video or phone sessions. Individual therapy and groups/classes. I offer specialized services including addiction and gambling recovery support, bariatric psychological assessments, SUD evaluations, and comprehensive ADHD assessments for adults.
Areas I Support
I work with adults across a wide range of mental health, neurodivergent, and recovery-related concerns. My approach is trauma-informed, inclusive, and grounded in over 18 years of clinical experience.
I support individuals navigating:
I specialize in working with women navigating the intersection of mental health and chronic medical conditions, including POTS, EDS / hEDS, MCAS, MCTD, RA, Lupus, Perimenopause, and other autoimmune and chronic illnesses (including POTS). I have extensive clinical experience supporting clients with complex, often overlapping symptoms such as anxiety, nervous system dysregulation, medical trauma, and the emotional impact of living with invisible or misunderstood conditions.
• ADHD, autism, anxiety, OCD, and other neurodivergent presentations.
• Executive functioning challenges, burnout, masking, and emotional regulation difficulties.
• Substance use and recovery, including alcohol use disorder, drug use, and relapse prevention.
• Behavioral addictions, including gambling and compulsive behaviors.
• Trauma, complex trauma, medical trauma, and nervous system dysregulation.
• Depression, grief, life transitions, divorce,and identity-related stress.
• Relationship challenges, boundary setting, and caregiver fatigue.Specialized experience includes:
• Over 18 years working in addiction treatment and recovery-oriented care.
• Extensive experience supporting veterans, active duty service members, and Department of Defense employees.
• Work with healthcare workers, first responders, and individuals in high-stress or high-responsibility roles.
• Neurodivergent-affirming care for adults who have been misdiagnosed, masked, or misunderstood.Values that guide my work:
• Care that is inclusive, affirming, and culturally responsive.
• Respect for lived experience, identity, and individual context.
• A belief that everyone deserves access to thoughtful, ethical mental health care. -
Consultation, Career Development & Coaching for Therapists
Therapists spend so much time supporting others that they often have little space to step back, reflect, and receive support for their own professional growth. I offer consultation and career development services for therapists who are navigating clinical work, ethical decision-making, leadership, private practice, burnout, and the many gray areas that come with this field.
My consultation style is supportive, honest, collaborative, and practical. I bring experience in clinical social work leadership, hospital-based behavioral health, private practice, teaching, supervision, program development, and direct client care. Consultation may focus on case conceptualization, ethical concerns, documentation, professional boundaries, career transitions, confidence-building, leadership development, or the realities of balancing clinical work with sustainability.
These services are a good fit for therapists who are:
Starting or growing a private practice
Navigating ethical or clinical dilemmas
Feeling stuck, burned out, or unsure of their next professional step
Wanting support with documentation, boundaries, or clinical confidence
Moving into leadership, supervision, teaching, or consultation roles
Exploring career development within social work, counseling, healthcare, or behavioral health systems
Seeking support with professional identity, impostor syndrome, or work-life sustainabilityConsultation is not therapy and does not replace clinical supervision when supervision is required for licensure. Instead, it offers a professional space to think clearly, process complex situations, strengthen your clinical judgment, and develop a career path that feels aligned with your values, skills, and long-term goals.
Whether you are building your practice, navigating a difficult case, considering a career shift, or simply needing a trusted professional sounding board, consultation can help you feel more grounded, strategic, and confident in your work.
Clinical Consultation group also offered.
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Teaching and Education
In addition to my clinical work, I hold a second master’s degree in Adult Education and bring a strong academic and applied teaching background to learning environments. I earned a Bachelor of Science in Criminal Justice, followed by a Master of Social Work, and later completed a Master of Adult Education with a focus on instruction, learning theory, and adult learners. This interdisciplinary foundation allows me to teach from a systems informed, clinically grounded, and socially conscious perspective that bridges criminal justice, social work, and sociology.
I have taught in informal and applied settings, including staff development, clinical consultation, supervision, and professional training environments. I am available to provide ethics trainings, clinical skills instruction, and continuing education programs for agencies, organizations, and multidisciplinary teams. My teaching style emphasizes critical thinking, ethical practice, cultural awareness, and real world application. I am open to teaching opportunities in criminal justice, social work, and sociology programs, as well as professional education and training collaborations.
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Clinical Experience & Practice Settings
I earned my degree in criminal justice with an initial focus on forensics, drawn to understanding behavior and the systems that respond to harm. Over time, I realized my passion extended beyond analysis and outcomes and that I wanted to understand the why behind behavior and help people change their lives in meaningful ways. I chose to leave the forensic and legal world behind to pursue social work, where I could work directly with people, support healing at its source, and walk alongside individuals in recovery, growth, and transformation.
I tailor treatment to the client’s goals, nervous system needs, values, and lived experience, with an emphasis on collaboration, autonomy, and sustainable change.
Professional Philosophy
I believe healing happens at the intersection of safety, insight, and empowerment. My work honors the whole person — mind, body, identity, and context — while balancing compassion with thoughtful challenge. Whether providing therapy, supervision, or consultation, my goal is to create a space where clarity emerges, resilience strengthens, and meaningful change becomes possible
I have over 18 years of experience providing psychotherapy, supervision, and program leadership across a wide range of clinical environments, including:
Federal healthcare systems
Medical centers
Military and Department of Defense behavioral health programs
Inpatient and outpatient mental health services
Substance use disorder treatment programs
Intensive outpatient and residential programs
Transitional housing and homelessness services
Child welfare and protective services
Hospice and end-of-life care
Telehealth and virtual behavioral health programs
My roles have included clinician, supervisor, program manager, subject-matter expert, educator, and acting service chief. I have led multidisciplinary teams, built programs from the ground up, and provided care to high-acuity and high-risk populations.
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Licensure & Certifications
Clinical Licensure
Licensed Clinical Social Worker – North Carolina
Licensed Clinical Social Worker – Virginia
Licensed Independent Clinical Social Worker – South Carolina
Licensed Clinical Social Worker – Maine
Licensed Clinical Social Worker – Utah
Substance Use & Clinical Supervision
Licensed Clinical Addiction Specialist
Certified Clinical Supervisor – Substance Abuse
Formerly Certified Substance Abuse Counselor
East Carolina University – Greenville, North CarolinaBachelor of Science in Criminal Justice
CompletedMaster of Social Work
CompletedCertificate in Substance Abuse Counseling
CompletedMaster of Adult Education
CompletedCertificate in Community College Instruction
Completed
Contact Us
At Above the Tides Counseling, you are seen, heard, and supported as you rise.
TIDES of healing: Transformation, Insight, Direction, Empowerment, and Support. —the foundation of the work we will do together. Healing is possible.
You have the power to transform pain into power. I invite you to take the next step toward reclaiming your life.

