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* *

A calming graphic for Above the Tides Counseling featuring a white lotus flower floating on water with a sunset in the background, pink and purple clouds in the sky.

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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.