Hi, I’m Bianca.
I’m Bianca Monroe, LCSW, LCAS-A, founder and owner of Thriving Therapy and Residential Services, PLLC. I’ve been providing therapy since 2020 and currently provide virtual therapy to adults throughout North Carolina.
I became a therapist because I’ve always been interested in what sits underneath the surface of people’s experiences. Not just what someone is doing, but what shaped it, what keeps it going, and what they may need in order to move forward differently.
My approach is warm, conversational, and direct. I want therapy to feel like a space where you can be yourself while still doing meaningful work. I’m not going to simply sit back and nod for 50 minutes. I ask questions, make connections, offer perspective, teach skills when they’re useful, and sometimes challenge you to look at something differently.
You don’t need to come into therapy knowing exactly what’s wrong or what you need. We can figure that out together.
What therapy with me feels like
My style is warm, conversational, and direct.
I’m not going to sit silently and occasionally ask, “And how does that make you feel?” for 53 minutes. You can expect me to listen closely, ask questions, notice patterns, offer perspective, and sometimes challenge you when I think there’s something worth looking at more closely.
There may be laughter. There may be uncomfortable realizations. There may be moments when something you’ve been doing for years suddenly makes a lot more sense.
You don’t need to perform in therapy. You don’t need to have the perfect explanation for how you feel. And you definitely don’t need to arrive with an agenda every week.
We’ll figure it out together.
The goal isn’t to become someone completely different.
It’s to understand yourself well enough that you have more choice.
To recognize when you’re overfunctioning before resentment takes over.
To set a boundary without spending three days questioning whether you were wrong.
To trust yourself in relationships.
To make decisions based on what matters to you, not just what keeps everyone else comfortable.
And to build a life where being loving, dependable, and caring doesn’t require constantly putting yourself last.
A little about my background
I’ve worked as a therapist since 2020 and am a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addictions Specialist Associate (LCAS-A).
My clinical background has allowed me to work with adults navigating a wide range of concerns, including anxiety, depression, trauma, grief, substance use, relationship concerns, life transitions, self-esteem, stress, and other emotional and behavioral health concerns.
Over time, my work has become especially focused on understanding the deeper emotional, behavioral, and relational patterns that influence how people experience themselves and their relationships.
I founded Thriving Therapy and Residential Services, PLLC to create a practice where therapy can be both supportive and substantive. A place where you can feel understood while also being challenged to look at what may need to change.
Why I became a therapist
I became a therapist because I genuinely enjoy seeing people grow.
There’s something meaningful about watching someone begin to understand themselves differently, recognize patterns they couldn’t see before, trust themselves more, or make changes they once weren’t sure they could make.
When I think back on my own younger years, I recognize that having a therapist would have been beneficial to me. Having someone outside of my everyday life to talk to, help me make sense of certain experiences, ask questions I may not have known to ask myself, and offer another perspective could have been valuable during those years.
That understanding is part of what drew me to this work and continues to shape the kind of therapist I want to be.
I want therapy to be a place where you don’t have to have everything figured out before you show up. You can bring the messy version, the “I don’t even know where to start” version, or the version of you that looks completely fine to everyone else.
Growth doesn’t always look dramatic. Sometimes it’s recognizing a pattern sooner, trusting your own decision, having a conversation you’ve avoided, setting a boundary, or realizing that something you’ve carried for years doesn’t have to keep influencing what comes next.
Those moments are why I love this work.
What informs my work
There isn’t one therapeutic approach that fits every person or every situation. My work is integrative, meaning I draw from different evidence-based approaches depending on what we’re working on and what will actually be useful to you.
Cognitive Behavioral Therapy (CBT)
Understanding how thoughts, beliefs, emotions, and behaviors interact and identifying patterns that may be keeping anxiety, avoidance, self-doubt, or other concerns going.
Dialectical Behavior Therapy (DBT)
Building practical skills for emotional regulation, distress tolerance, communication, boundaries, and navigating difficult situations more effectively.
Person-Centered Therapy
Keeping you, your experiences, values, strengths, and goals at the center of the work. Therapy is collaborative, and you should have a voice in where we’re going and how we get there.
Acceptance and Commitment Therapy (ACT)
Learning to make room for difficult thoughts and emotions without allowing them to make every decision for you, while becoming clearer about your values and how you want to live.
I also incorporate strengths-based, interpersonal, mindfulness-based, and trauma-informed approaches when they support the work we’re doing.
Think we might work well together?
You don’t have to know exactly what therapy needs to look like before reaching out. That’s part of what the consultation is for.
Schedule a free 15-minute consultation to tell me a little about what’s bringing you to therapy, ask questions, and see whether working together feels like a good fit.